Active NPI
Kindal Alysse Sweet, PA-C
- Physician Assistant
- Boynton Beach, FL
National Provider Identifier
1174956031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9110564
- Practice address
- 10301 Hagen Ranch Rd Ste D720
Boynton Beach, FL 33437-3777 - Phone
- (561) 402-3971
- NPI assigned
- Aug 14, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9110564 | FL | |
| Physician Assistant | 363A00000X | PA9110564 | FL | Primary |
| Medical Physician Assistant | 363AM0700X | AZ |
Addresses
Primary practice location
10301 Hagen Ranch Rd Ste D720
Boynton Beach, FL 33437-3777
Mailing address
PO Box 2400
Melbourne, FL 32902-2400
Phone (321) 255-9671
Other practice location 1
7677 W Paradise Ln Apt 1128
Peoria, AZ 85382-4974
Phone (407) 474-9351
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3365 Burns Rd
Suite 203
Palm Beach Gardens, FL 33410-4303
Phone (561) 402-3971
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5414 | AZ | MD | Dentist |
| PA9110564 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Care Medical Centers LLC | Past | Accepting new patients | |
| Bobcat Emergency Physicians LLC | Physician Assistant | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Psychiatry Physician
- Palm Beach Gardens, FL
- NPI 1508438284
-
- Anesthesiology Physician
- Melbourne, FL
- NPI 1598008955
-
- Urgent Care Clinic/Center
- Palm Bay, FL
- NPI 1609240779
-
- Internal Medicine Physician
- Boynton Beach, FL
- NPI 1285212050
-
- Emergency Medicine Physician
- Dayton, OH
- NPI 1124366489
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688947200000",
"number": "1174956031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2400",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329022400",
"telephone_number": "321-255-9671",
"fax_number": "603-893-8886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10301 HAGEN RANCH RD STE D720",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334373777",
"telephone_number": "561-402-3971"
}
],
"practiceLocations": [
{
"address_1": "7677 W Paradise Ln Apt 1128",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "AZ",
"postal_code": "853824974",
"country_code": "US",
"telephone_number": "407-474-9351",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SWEET",
"first_name": "KINDAL",
"middle_name": "ALYSSE",
"name_prefix": "Miss",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-14",
"last_updated": "2023-07-10",
"certification_date": "2023-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9110564",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9110564",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AZ",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.