NPIMap

Organization Active NPI

KND Development 59 LLC

  • Hospitalist Physician
  • Saint 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
Organization subpart
Yes
Parent organization
KINDRED HEALTHCARE, INCAs reported in NPPES

Authorized official

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

Other NPIs on the same Medicare enrollment 8

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

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

Corporate family (same tax ID) 7

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 327

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 327

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
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…

National Provider Directory

National Provider Directory
Tax ID family
KND Development 59 LLC (78 organizations share this tax ID)
Part of
Presence Covenant Medical Center

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

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 identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
DL118AOtherFLMEDICARE

Other names 1

NPPES NPI Registry
  • 4611 KH BAY ARE ST PETERSBURG Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 16, 2026.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "DL118A",
            "state": "FL"
        }
    ],
    "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 Saint 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.