Kayla Bluteau

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

13525 Bartram Park Blvd Unit 1922
Jacksonville, FL 32258-5276

Phone

(336) 712-0167

NPI assigned

May 22, 2026

Last updated

May 22, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1779408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1205766953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100176",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100176",
            "telephone_number": "352-294-8150",
            "fax_number": "352-294-8167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13525 BARTRAM PARK BLVD UNIT 1922",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585276",
            "telephone_number": "336-712-0167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUTEAU",
        "first_name": "KAYLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-22",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clifford Blumenberg, M.D.
• Daniel Mark Blumenthal, MD, MBA
• Kimberly G Blumenthal, M.D.
• Renee Marie Bluml, MS, RD
• Danielle Blunt
• Kimberly Nguyen Blythe, APRN
• Bo WLMC LLC
• Grayson Mackenzie Boala
• Adelina Georgina Boata
• Bernard Nana Adjei Boateng, MBA, DO, MS

• Physician Assistant in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.