NPIMap

Organization Active NPI

KND Development 59 LLC

  • Hospitalist Physician
  • St Petersburg, FL
National Provider Identifier
1245569870
Registry record updated Aug 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
KND DEVELOPMENT 59 LLC
Practice address
3030 6TH St S
Saint Petersburg, FL 33705-3720
Phone
(727) 894-8719
Fax
(502) 596-4150
NPI assigned
Dec 10, 2009
Last updated
Aug 16, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
KINDRED HEALTHCARE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 16, 2026

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

Authorized official

Name
Linda L Fisher
Title
DVP Revenue Cycle
Phone
(502) 596-7358

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X Primary

Addresses

Primary practice location

3030 6TH St S
Saint Petersburg, FL 33705-3720

Mailing address

680 S 4TH St
Louisville, KY 40202-2407
Phone (502) 596-7358

Other practice location 1

4473 N Saddle Dr
Beverly Hills, FL 34465-4855
Phone (502) 596-7358

Other practice location 2

1700 Serpentine Dr S
St Petersburg, FL 33712-6057
Phone (502) 596-7358

Other practice location 3

3413 W Granada St
Tampa, FL 33629-7050
Phone (502) 596-7358

Other practice location 4

2212 Bloods Grove Cir
Delray Beach, FL 33445
Phone (502) 596-7358

Other names 1

  • 4611 KH BAY ARE ST PETERSBURG Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100908000056 FL Part B Supplier - Clinic/Group Practice 3678602802 Receives reassigned benefits from 175 practitioners
8 other NPIs on this enrollment
Practice locations: Cantonment, FL; Coral Gables, FL; Fort Lauderdale, FL; Green Cove Springs, FL; Hollywood, FL; Melbourne, FL; Riviera Beach, FL; Saint Petersburg, FL…

Other NPIs with the same Medicare PAC ID 21

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 21

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Vijayasree Paruchuri MD78 organizations share this tax ID, including this one
Part of
Presence Covenant Medical Center

Organizations with this tax ID in the same state 7

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Practitioners & affiliated clinicians

Practitioners 178

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 178

NPI Registry JSON

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786838400000",
    "number": "1245569870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 S 4TH ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022407",
            "telephone_number": "502-596-7358",
            "fax_number": "833-501-9731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 6TH ST S",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337053720",
            "telephone_number": "727-894-8719",
            "fax_number": "502-596-4150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4473 N Saddle Dr",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "FL",
            "postal_code": "344654855",
            "country_code": "US",
            "telephone_number": "502-596-7358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 Serpentine Dr S",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337126057",
            "country_code": "US",
            "telephone_number": "502-596-7358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3413 W Granada St",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336297050",
            "country_code": "US",
            "telephone_number": "502-596-7358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2212 Bloods Grove Cir",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "33445",
            "country_code": "US",
            "telephone_number": "502-596-7358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KND DEVELOPMENT 59 LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KINDRED HEALTHCARE, INC",
        "enumeration_date": "2009-12-10",
        "last_updated": "2026-08-16",
        "certification_date": "2026-08-16",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DVP REVENUE CYCLE",
        "authorized_official_telephone_number": "502-596-7358"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "4611 KH BAY ARE ST PETERSBURG",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "4611 KH BAY ARE ST PETERSBURG",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.