Active NPI
Rebecca Ellen Kuerbitz, PA-C
- Physician Assistant
- Orlando, FL
National Provider Identifier
1225167406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9101152
- Practice address
- 4000 Central Florida Blvd
Orlando, FL 32816-8005 - Phone
- (407) 823-2701
- Fax
- (407) 823-2701
- NPI assigned
- Mar 5, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9101152 | FL | Primary |
Addresses
Primary practice location
4000 Central Florida Blvd
Orlando, FL 32816-8005
Mailing address
4000 Central Florida Blvd
Orlando, FL 32816-8005
Phone (407) 823-2701
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9101152 | FL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226016000000",
"number": "1225167406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 CENTRAL FLORIDA BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328168005",
"telephone_number": "407-823-2701",
"fax_number": "407-823-2701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 CENTRAL FLORIDA BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328168005",
"telephone_number": "407-823-2701",
"fax_number": "407-823-2701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUERBITZ",
"first_name": "REBECCA",
"middle_name": "ELLEN",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2008-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9101152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.