Active NPI
Elizabeth Lokenauth, PA
- Physician Assistant
- Kissimmee, FL
National Provider Identifier
1487321790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9117592
- Practice address
- 3060 Loopdale LN
Kissimmee, FL 34741-7659 - Phone
- (407) 775-2121
- Fax
- (888) 272-4324
- NPI assigned
- Aug 24, 2021
- Last updated
- Oct 26, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 027274-01 | NY | |
| Physician Assistant | 363A00000X | PA9117592 | FL | Primary |
Addresses
Primary practice location
3060 Loopdale LN
Kissimmee, FL 34741-7659
Mailing address
311 North St Ste 201
White Plains, NY 10605-2232
Phone (914) 629-3100
Other practice location 1
311 North St Ste 201
White Plains, NY 10605-2232
Phone (914) 629-3100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2971 Park Pond Way
Kissimmee, FL 34741-7661
Phone (407) 775-2121
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027274 | NY | MD | Clinical Psychologist |
| PA9117592 | FL | MD | Physician Assistant |
| 027274-01 | NY | MD | Physician Assistant |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- elokenauth1465297@nychhc.direct-ci.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba MAVA Healthcare
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Kissimmee, FL
- NPI 1104458769
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
-
- Emergency Medicine Physician
- Middletown, NY
- NPI 1043589682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698278400000",
"number": "1487321790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 NORTH ST STE 201",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106052232",
"telephone_number": "914-629-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3060 LOOPDALE LN",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347417659",
"telephone_number": "407-775-2121",
"fax_number": "888-272-4324"
}
],
"practiceLocations": [
{
"address_1": "311 North St Ste 201",
"address_purpose": "LOCATION",
"city": "White Plains",
"state": "NY",
"postal_code": "106052232",
"country_code": "US",
"telephone_number": "914-629-3100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOKENAUTH",
"first_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-24",
"last_updated": "2023-10-26",
"certification_date": "2023-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "027274-01",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9117592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.