Individual provider Active NPI

Catalina Rae Garcia

  • Physician Assistant
  • Kissimmee, FL
National Provider Identifier
1417849423
Registry record updated Apr 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9120663 Issued in FL
Practice address
1162 Cypress Glen Cir
Kissimmee, FL 34741-7560
Phone
(407) 343-9006
NPI assigned
Jul 16, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2026

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 PA9120663 FL Primary

Addresses

Primary practice location

1162 Cypress Glen Cir
Kissimmee, FL 34741-7560

Mailing address

7225 Windover Way
Titusville, FL 32780-7555
Phone (321) 289-5715

Other practice location 1

1099 Florida Ave S
Rockledge, FL 32955-2138
Phone (321) 632-6900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260107000064 FL Practitioner - Physician Assistant 4284120528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Nova Southeastern College of Osteo Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida ENT Adult and Pediatric PAGroup PAC ID 3971532763, 7 clinicians

Practice addresses (Care Compare)

1162 Cypress Glen Cir
Kissimmee, FL 34741-7560
Phone (407) 343-9006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9120663FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Brevard Ear Nose & Throat Center PA CurrentSince Nov 1, 2025 Accepting new patients
Florida ENT Adult & Pediatrics, PA Current Accepting new patients
Florida ENT Adult & Pediatric PA Current Accepting new patients

Locations

720 W Oak St
Ste 101
Kissimmee, FL 34741
Phone (407) 343-9006

1162 Cypress Glen Cir
Kissimmee, FL 34741
Phone (407) 343-9006

1099 Florida Ave S
Rockledge, FL 32955
Phone (321) 632-6900

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGADAA
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.133

Organizations & group practices 3

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": "1752624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777161600000",
    "number": "1417849423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7225 WINDOVER WAY",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327807555",
            "telephone_number": "321-289-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1162 CYPRESS GLEN CIR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417560",
            "telephone_number": "407-343-9006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1099 Florida Ave S",
            "address_purpose": "LOCATION",
            "city": "Rockledge",
            "state": "FL",
            "postal_code": "329552138",
            "country_code": "US",
            "telephone_number": "321-632-6900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "CATALINA",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-16",
        "last_updated": "2026-04-26",
        "certification_date": "2026-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9120663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.