Individual provider Active NPI

Alexis Kinloch

  • Physician Assistant
  • West Palm Beach, FL
National Provider Identifier
1497212401
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9111937 Issued in FL
Practice address
5818 S Dixie Hwy
West Palm Beach, FL 33405-3608
Phone
(561) 429-4779
NPI assigned
Feb 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

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 PA9111937 FL Primary

Addresses

Primary practice location

5818 S Dixie Hwy
West Palm Beach, FL 33405-3608

Mailing address

11946 Arbor Lake Dr
Jacksonville, FL 32225-7609

Other practice location 1

3537 Forest Hill Blvd
West Palm Beach, FL 33406-5867
Phone (561) 328-8433

Other practice location 2

11951 US Highway 1 Ste 108
North Palm Beach, FL 33408-2804
Phone (561) 429-6109

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
I20190403001305 FL Practitioner - Physician Assistant 3779824636 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Solantic of Jacksonville LLCGroup PAC ID 1052409307, 56 clinicians

Practice addresses (Care Compare)

2401 Monument Rd
Jacksonville, FL 32225-2520
Phone (904) 642-0337

463941 Sr
200 Carespot Express Healthcare
Yulee, FL 32097-6342
Phone (615) 600-4074

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care of the Palm Beaches Past Accepting new patients

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": "1551139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1497212401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11946 ARBOR LAKE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322257609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5818 S DIXIE HWY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334053608",
            "telephone_number": "561-429-4779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3537 Forest Hill Blvd",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334065867",
            "country_code": "US",
            "telephone_number": "561-328-8433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11951 US Highway 1 Ste 108",
            "address_purpose": "LOCATION",
            "city": "North Palm Beach",
            "state": "FL",
            "postal_code": "334082804",
            "country_code": "US",
            "telephone_number": "561-429-6109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINLOCH",
        "first_name": "ALEXIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-26",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9111937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.