Yuliya Kutafina, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9111794 Issued in FL

Practice address

15689 Southern Blvd Unit 101
Loxahatchee Groves, FL 33470-9229

Phone

(561) 614-1116

NPI assigned

Dec 7, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

FB Health SolutionsGroup PAC ID 9638595143, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• FB Health Solutions

  dba American Family Care

  • Urgent Care Clinic/Center
  • Hallandale Beach, FL
  • NPI 1528691961
  Medicare reassignment Care Compare group
• Forest Drive Physicians

  dba Doctors Express Columbia

  • Urgent Care Clinic/Center
  • Columbia, SC
  • NPI 1740590157
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1544140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544140800000",
    "number": "1114498730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5240 NE 6TH AVE APT 26H",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333343334",
            "telephone_number": "407-454-4821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15689 SOUTHERN BLVD UNIT 101",
            "city": "LOXAHATCHEE GROVES",
            "state": "FL",
            "postal_code": "334709229",
            "telephone_number": "561-614-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTAFINA",
        "first_name": "YULIYA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-07",
        "last_updated": "2018-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9111794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mildred Alexandra Castro, PA-C
• Clear Medicine, Inc (AFC Urgent Care)
• Shannon J Fox-Levine, MD
• Groves Dental Care P.a. (Groves Dental Care)
• Holistik Therapy LLC
• Virginia Pitts Lilienthal, MD
• Palm Beach Pediatrics, LLC (Bluebird Kids Health)
• Palm Beach Pediatrics, LLC (Bluebird Kids Health)
• Nicole Antoinette Pearson, MD
• Publix Super Markets Inc (Publix Pharmacy #1538)

• Physician Assistant in Loxahatchee Groves, FL
• Providers in Loxahatchee Groves, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.