Individual provider Active NPI

Katrina Kay York, PA-C

  • Physician Assistant
  • Boca Raton, FL
National Provider Identifier
1215411715
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9111623 Issued in FL
Practice address
9960 Central Park Blvd N Ste 150a
Boca Raton, FL 33428-1760
Phone
(561) 922-9112
Fax
(561) 367-5399
NPI assigned
Sep 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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 9111623 FL Primary

Addresses

Primary practice location

9960 Central Park Blvd N Ste 150a
Boca Raton, FL 33428-1760

Mailing address

4725 N Federal Hwy
Fort Lauderdale, FL 33308-4668
Phone (954) 771-8000

Other practice location 1

4725 N Federal Hwy
Fort Lauderdale, FL 33308-4668
Phone (954) 771-8000

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
I20181215000363 FL Practitioner - Physician Assistant 3779828942 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Tenet Florida Physician Services II, LLCGroup PAC ID 1456507698, 99 clinicians

Practice addresses (Care Compare)

1000 NE 56TH St
Fort Lauderdale, FL 33334-4149
Phone (954) 229-8608

21644 State Rd
Suite 7
Boca Raton, FL 33428-1842
Phone (561) 488-8000

4725 N Federal Hwy
Fort Lauderdale, FL 33308-4603
Phone (954) 771-8000

Hospital & facility affiliations

  • West Boca Medical Center Hospital, Boca Raton, FL, CCN 100268

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9111623FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tenet Florida Physician Services II, LLC CurrentSince Oct 25, 2022 Accepting new patients
Tenet Florida Physician Services LLC CurrentSince Oct 25, 2022 Accepting new patients
Holy Cross Hospital, Inc CurrentSince Oct 17, 2020 Accepting new patients
Holy Cross Hospital Inc CurrentSince Oct 17, 2020 Accepting new patients
Tenet Florida Physician Services II, LLC Physician Assistant Past Accepting new patients

Locations

9960 Central Park Blvd N
Ste 150A
Boca Raton, FL 33428
Phone (561) 394-8443

1309 S Federal Hwy
#G
Ft Lauderdale, FL 33316
Phone (954) 463-4383

3000 Bayview Dr
Ft Lauderdale, FL 33306
Phone (954) 393-1708

1000 NE 56th St
Oakland Park, FL 33334
Phone (954) 229-8608

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

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 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": "1537401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1215411715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 N FEDERAL HWY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084668",
            "telephone_number": "954-771-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9960 CENTRAL PARK BLVD N STE 150A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281760",
            "telephone_number": "561-922-9112",
            "fax_number": "561-367-5399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4725 N Federal Hwy",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333084668",
            "country_code": "US",
            "telephone_number": "954-771-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YORK",
        "first_name": "KATRINA",
        "middle_name": "KAY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-20",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9111623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.