Individual provider Active NPI

Kaitlin Abers, PA-C

  • Physician Assistant
  • Fort Lauderdale, FL
National Provider Identifier
1225432305
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9108340 Issued in FL
Practice address
3000 NE 57TH St
Fort Lauderdale, FL 33308-2810
Phone
(954) 648-7948
NPI assigned
Oct 17, 2014
Last updated
Mar 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9108340 FL Primary
Medical Physician Assistant 363AM0700X PA9108340 FL

Addresses

Primary practice location

3000 NE 57TH St
Fort Lauderdale, FL 33308-2810

Mailing address

3000 NE 57TH St
Fort Lauderdale, FL 33308-2810

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
I20161110001415 FL Practitioner - Physician Assistant 7214215946 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Broward Hospital District CurrentSince May 1, 2021 Accepting new patients
South Broward Hospital District CurrentSince Dec 23, 2022 Accepting new patients
South Broward Hospital District CurrentSince May 1, 2021 Accepting new patients
South Broward Hospital District Past Accepting new patients

Locations

1150 N 35th Ave
Ste 130
Hollywood, FL 33021
Phone (954) 265-7700

1150 N 35th Ave
Ste 390
Hollywood, FL 33021
Phone (954) 265-7450

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581

Interoperability endpoints

  • Direct secure messaging: kabers2109234@direct.trinity-health.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1225432305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 NE 57TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333082810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 NE 57TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333082810",
            "telephone_number": "954-648-7948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABERS",
        "first_name": "KAITLIN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-17",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9108340",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9108340",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.