Individual provider Active NPI

Elizabeth Kaufman, PA-C

  • Physician Assistant
  • Wesley Chapel, FL
National Provider Identifier
1114599545
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9114345 Issued in FL
Practice address
2312 Crestover LN Ste 101
Wesley Chapel, FL 33544-6790
Phone
(813) 972-3750
Fax
(813) 972-3749
NPI assigned
Jul 14, 2021
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9114345 FL Primary

Addresses

Primary practice location

2312 Crestover LN Ste 101
Wesley Chapel, FL 33544-6790

Mailing address

671 S Kings Ave
Brandon, FL 33511-6048
Phone (813) 972-3750

Other practice location 1

671 S Kings Ave
Brandon, FL 33511-6048
Phone (813) 972-3750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PA9114345FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Imad Al-Nakshabendi M D P a CurrentSince Jul 25, 2021 Accepting new patients

Locations

671 S Kings Ave
Brandon, FL 33511
Phone (813) 972-3750

2312 Crestover Ln
Ste 101
Wesley Chapel, FL 33544
Phone (813) 994-5039

Interoperability endpoints

  • Direct secure messaging: bethkaufman12@floridaagc.amazing-direct.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1114599545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 S KINGS AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116048",
            "telephone_number": "813-972-3750",
            "fax_number": "813-972-3749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 CRESTOVER LN STE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446790",
            "telephone_number": "813-972-3750",
            "fax_number": "813-972-3749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "671 S Kings Ave",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335116048",
            "country_code": "US",
            "telephone_number": "813-972-3750",
            "fax_number": "813-972-3749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9114345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.