Individual provider Active NPI

Kathryn Marie Goggins, M.M.S., PA-C

  • Physician Assistant
  • Jupiter, FL
National Provider Identifier
1538580451
Registry record updated Jun 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 9107529 Issued in FL
Practice address
4601 Military TRL Ste 203
Jupiter, FL 33458-4835
Phone
(561) 775-6011
Fax
(561) 775-6044
NPI assigned
Dec 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 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 PA 9107529 FL Primary

Addresses

Primary practice location

4601 Military TRL Ste 203
Jupiter, FL 33458-4835

Mailing address

3227 S Bismark LN Apt 302
Jupiter, FL 33458-8489
Phone (954) 464-5478

Other names 1

  • Miss Kathryn Marie Lacalamita Former name

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
I20140326001179 FL Practitioner - Physician Assistant 7416188990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suncoast Skin SolutionsGroup PAC ID 7416018221, 102 clinicians

Practice addresses (Care Compare)

4601 Military TRL
Suite 203
Jupiter, FL 33458-4835
Phone (813) 321-1786

Hospital & facility affiliations

  • Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA 9107529FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas K Pierce MD PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kathryn.goggins@suncoastskin.emadirect.md

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1538580451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3227 S BISMARK LN APT 302",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334588489",
            "telephone_number": "954-464-5478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 MILITARY TRL STE 203",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584835",
            "telephone_number": "561-775-6011",
            "fax_number": "561-775-6044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOGGINS",
        "first_name": "KATHRYN",
        "middle_name": "MARIE",
        "credential": "M.M.S., PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-18",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA 9107529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "LACALAMITA",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.