Individual provider Active NPI

Kristin E Kuntz, PA-C

  • Physician Assistant
  • Saint Petersburg, FL
National Provider Identifier
1124899620
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3251 66TH St N
Saint Petersburg, FL 33710-1510
Phone
(813) 925-1903
NPI assigned
Jan 12, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

3251 66TH St N
Saint Petersburg, FL 33710-1510

Mailing address

4541 Anaconda Dr
New Port Richey, FL 34655-7303
Phone (727) 809-0119

Other identifiers 1

IdentifierTypeStateIssuer
121270700MedicaidFL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240201000051 FL Practitioner - Physician Assistant 0143673558 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergic Healthcare Solutions LLCGroup PAC ID 7618235573, 94 clinicians
West Central Gastroenterology LLPGroup PAC ID 0648322362, 82 clinicians

Practice addresses (Care Compare)

16521 S US Hwy 301
TGH Urgent Care Powered by Fast Tra
Wimauma, FL 33598-2032
Phone (813) 928-1903

3251 66TH St N
TRH Urgent Care Powered by Fast Track
St Petersburg, FL 33710-1510
Phone (813) 925-1903

3301 W Gandy Blvd
Tampa, FL 33611-2931

3901 66 St N
Suite 201
St Petersburg, FL 33709-4949
Phone (727) 345-5500

4949 4TH St N
TGH Urgent Care Powered by Fast Track
St Petersburg, FL 33703-3800
Phone (813) 925-1903

7601 Seminole Blvd
TGH Urgent Care Powered by Fast Tra
Seminole, FL 33772-4868
Phone (813) 925-1903

Hospital & facility affiliations

  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075
  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Synergic Healthcare Solutions LLC Urgent Care CurrentSince Feb 1, 2024 Accepting new patients
Synergic Healthcare Solutions LLC Urgent Care Current Accepting new patients
West Central Gastroenterology LLP CurrentSince Nov 24, 2025 Accepting new patients
Tampa General Hospital Current Accepting new patients
Center for Digestive Care Inc PastSince Nov 24, 2025 Accepting new patients

Locations

1300 S Fort Harrison Ave
Ste 100
Clearwater, FL 33756
Phone (727) 345-5500

3001 Executive Dr
Ste 130
Clearwater, FL 33762
Phone (727) 329-3371

6225 66th St N
Pinellas Park, FL 33781
Phone (727) 521-0994

3901 66th St N
Ste 201
St Petersburg, FL 33709
Phone (727) 345-5500

3251 66th St N
St Petersburg, FL 33710
Phone (727) 344-3627

560 Jackson St N
Ste 100
St Petersburg, FL 33705
Phone (727) 214-1414

5504 Gateway Blvd
Wesley Chapel, FL 33544
Phone (813) 948-5400

16521 US 301 S
Wimauma, FL 33598
Phone (813) 844-4700

200 N Bryant Ave
Ste 10
Edmond, OK 73034

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: kkuntz289298@direct.tgh.org

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1124899620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4541 ANACONDA DR",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346557303",
            "telephone_number": "727-809-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 66TH ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337101510",
            "telephone_number": "813-925-1903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNTZ",
        "first_name": "KRISTIN",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121270700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

Verify at the official NPI Registry.