Individual provider Active NPI

Kathryn Ann Gormandy, PA-C

  • Physician Assistant
  • Pensacola, FL
National Provider Identifier
1407282890
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9107395 Issued in FL
Practice address
4850 Grande Dr
Pensacola, FL 32504
Phone
(850) 477-4447
Fax
(850) 477-2225
NPI assigned
Sep 18, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2018

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 PA9107395 FL Primary

Addresses

Primary practice location

4850 Grande Dr
Pensacola, FL 32504

Mailing address

4850 Grande Dr
Pensacola, FL 32504-5940
Phone (251) 518-9756

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.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.45 of 100Reported as group
Quality
79.54
Promoting interoperability
100
Improvement activities
40
Cost
71.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9107395FLMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: kgormandy@pensacoladerm.emadirect.md

NPI Registry JSON

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

{
    "created_epoch": "1379462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1407282890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 GRANDE DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325045940",
            "telephone_number": "251-518-9756",
            "fax_number": "850-477-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 GRANDE DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32504",
            "telephone_number": "850-477-4447",
            "fax_number": "850-477-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORMANDY",
        "first_name": "KATHRYN",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-18",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9107395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.