Kimberly Lockwood Flynn, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9105328 Issued in FL

Practice address

5809 Sunshine Park Dr
New Port Richey, FL 34652-5540

Phone

(727) 842-3770

Fax

(727) 842-3770

NPI assigned

Mar 8, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kflynn71660@epicdirect.hf.org

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.

• Brevard Physician Associates, PLLC

  • Anesthesiology Physician
  • Melbourne, FL
  • NPI 1598008955
  Medicare reassignment
• Brevard Emergency Services

  • Internal Medicine Physician
  • Melbourne, FL
  • NPI 1104870393
  NPD (past)
• Jay Care Medical Center, Inc.

  • Primary Care Clinic/Center
  • Lakeland, FL
  • NPI 1457336182
  NPD (past)

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268006400000",
    "number": "1598088460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5809 SUNSHINE PARK DR",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346525540",
            "telephone_number": "727-842-3770",
            "fax_number": "727-842-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5809 SUNSHINE PARK DR",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346525540",
            "telephone_number": "727-842-3770",
            "fax_number": "727-842-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "KIMBERLY",
        "middle_name": "LOCKWOOD",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-08",
        "last_updated": "2010-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9105328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florida Recovery Schools of Tampa Bay, Inc.
• Florida Treatment Services LLC
• Florida Woman Care LLC
• Florida Woman Care, LLC
• Kelly Brett Flynn, BCBA
• Corrinne Follett, A.R.N.P.
• Cynthia Leland Fonda, LMHC
• Renee Cecile Fondren, APRN-C
• Eldris Fonseca Rosa
• Foot and Ankle Medical Center, PLLC

• Physician Assistant in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.