Individual provider Active NPI

Chelsea Kidd, P.A.

  • Physician Assistant
  • Sarasota, FL
National Provider Identifier
1164960340
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9111997 Issued in FL
Practice address
1950 Arlington St Ste 203
Sarasota, FL 34239-3516
Phone
(941) 379-6331
Fax
(941) 379-5443
NPI assigned
Feb 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0110-005667 VA
Physician Assistant 363A00000X PA9111997 FL Primary

Addresses

Primary practice location

1950 Arlington St Ste 203
Sarasota, FL 34239-3516

Mailing address

1950 Arlington St Ste 203
Sarasota, FL 34239-3516
Phone (941) 379-6331

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Chelsea.Kidd@img.directbygreenway.com Direct

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
I20190517001811 FL Practitioner - Physician Assistant 8426333790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Woman Care LLCGroup PAC ID 5395807218, 607 clinicians

Practice addresses (Care Compare)

1950 Arlington St
Suite 203
Sarasota, FL 34239-3516
Phone (941) 379-6331

3000 Hunters Creek Blvd
Orlando, FL 32837-6901
Phone (407) 857-2502

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0110-005667VAMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: chelsea.kidd@img.directbygreenway.com
  • Direct secure messaging: chelsea.kidd.1@2183.direct.athenahealth.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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1486425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1164960340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 ARLINGTON ST STE 203",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393516",
            "telephone_number": "941-379-6331",
            "fax_number": "941-379-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 ARLINGTON ST STE 203",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393516",
            "telephone_number": "941-379-6331",
            "fax_number": "941-379-5443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDD",
        "first_name": "CHELSEA",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-07",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110-005667",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9111997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Chelsea.Kidd@img.directbygreenway.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "943 S Beneva Rd Ste 204",
            "city": "Sarasota",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342322472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.