Kristen Lynn Urichko Outlaw, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9117555 Issued in FL

Practice address

501 6TH Ave S
St Petersburg, FL 33701-4634

Phone

(407) 330-8500

NPI assigned

Jan 22, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: koutlaw993905@direct.hopkinsmedicine.org

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1245820216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13304 CONNERSVILLE BLVD APT D",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336179520",
            "telephone_number": "407-330-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 6TH AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014634",
            "telephone_number": "407-330-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUTLAW",
        "first_name": "KRISTEN",
        "middle_name": "LYNN URICHKO",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-22",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9117555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Claire Ottinger, APRN, ACNPC-AG, MSN
• Chelsea Ouellette
• Our Hearts Home Care & Staffing LLC (Our Hearts Home Care)
• Our Lives Matter Home Care LLC
• Our Mosaic LLC (Our Mosaic Therapy)
• Linda R. Outten, RPH
• Ovadia Medical Consulting Group LLC
• Philip Craig Ovadia, M.D.
• Gina Joanne Oviedo-Batt, MD
• Brooke Owen

• Physician Assistant in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.