NPIMap

Individual provider Active NPI

Brittany Lee-Ann King, PA-C

  • Physician Assistant
  • Avon Park, FL
National Provider Identifier
1144572090
Registry record updated Feb 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9106773 Issued in FL
Practice address
1006 W Pleasant St
Avon Park, FL 33825-2966
Phone
(863) 453-3121
NPI assigned
Oct 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2016

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 PA9106773 FL Primary

Addresses

Primary practice location

1006 W Pleasant St
Avon Park, FL 33825-2966

Mailing address

1006 W Pleasant St
Avon Park, FL 33825-2966
Phone (863) 453-3121

Other names 1

  • Brittany Lee-Ann Lamaster Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121119000373 FL Practitioner - Physician Assistant 7113178260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health System-Sunbelt IncGroup PAC ID 0749232445, 100 clinicians

Practice addresses (Care Compare)

200 S Scenic Hwy
Frostproof, FL 33843-2125
Phone (863) 453-3121

Hospital & facility affiliations

  • Patients First Home Care LLC Home health agency, Bradenton, FL, CCN 687173
  • Adventhealth Home Health Home health agency, Sebring, FL, CCN 107345
  • Amedisys Home Health Home health agency, Winter Haven, FL, CCN 107007
  • Adventhealth Sebring Hospital, Sebring, FL, CCN 100109
  • Adventhealth Lake Wales Hospital, Lake Wales, FL, CCN 100099

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9106773FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System-Sunbelt Inc CurrentSince Feb 1, 2016 Accepting new patients

Locations

1006 W Pleasant St
Avon Park, FL 33825
Phone (863) 453-3121

4101 Sun N Lake Blvd
Sebring, FL 33872

Interoperability endpoints

  • Direct secure messaging: bking617818@adventhealth.direct-ci.com

Organizations & group practices 8

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 6

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": "1349136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455062400000",
    "number": "1144572090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 W PLEASANT ST",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338252966",
            "telephone_number": "863-453-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 W PLEASANT ST",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338252966",
            "telephone_number": "863-453-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "BRITTANY",
        "middle_name": "LEE-ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-02",
        "last_updated": "2016-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9106773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "LAMASTER",
            "middle_name": "LEE-ANN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Avon Park, FL

Sources for this page

Verify at the official NPI Registry.