Individual provider Active NPI

Kayla Lovett, PA-C

  • Physician Assistant
  • Holiday, FL
National Provider Identifier
1396255840
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9110705 Issued in FL
Practice address
2404 US Highway 19
Holiday, FL 34691-3943
Phone
(727) 945-0100
NPI assigned
Oct 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9110705 FL Primary

Addresses

Primary practice location

2404 US Highway 19
Holiday, FL 34691-3943

Mailing address

10803 Oaklawn Garden CT
Tampa, FL 33626-2711
Phone (863) 510-6813

Other practice location 1

34621 US Highway 19 N
Palm Harbor, FL 34684-2152
Phone (727) 953-9888

Other practice location 2

13256 Sr 54
Odessa, FL 33556-3483
Phone (813) 920-0023

Other names 1

  • Kayla Bala Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Synergic Healthcare Solutions LLC CurrentSince Jul 16, 2022 Accepting new patients
Synergic Healthcare Solutions LLC Current Accepting new patients

Locations

5504 Gateway Blvd
Wesley Chapel, FL 33544
Phone (813) 948-5400

16521 US 301 S
Wimauma, FL 33598
Phone (813) 844-4700

200 N Bryant Ave
Ste 10
Edmond, OK 73034

Networks

  • Optimum HealthCare HMO Network

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1396255840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10803 OAKLAWN GARDEN CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336262711",
            "telephone_number": "863-510-6813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 US HIGHWAY 19",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "346913943",
            "telephone_number": "727-945-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34621 US Highway 19 N",
            "address_purpose": "LOCATION",
            "city": "Palm Harbor",
            "state": "FL",
            "postal_code": "346842152",
            "country_code": "US",
            "telephone_number": "727-953-9888",
            "fax_number": "727-945-0133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13256 SR 54",
            "address_purpose": "LOCATION",
            "city": "Odessa",
            "state": "FL",
            "postal_code": "335563483",
            "country_code": "US",
            "telephone_number": "813-920-0023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOVETT",
        "first_name": "KAYLA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-10",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9110705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "BALA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Holiday, FL

Sources for this page

Verify at the official NPI Registry.