Active NPI
Kerline Barthelemy
- Physician Assistant
- Port Saint Lucie, FL
National Provider Identifier
1598599813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- TPPA770
- Practice address
- 8980 S US Highway 1 Ste 101
Port Saint Lucie, FL 34952-3482 - Phone
- (772) 788-5770
- NPI assigned
- Aug 28, 2024
- Last updated
- Sep 8, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | TPPA770 | FL | Primary |
Addresses
Primary practice location
8980 S US Highway 1 Ste 101
Port Saint Lucie, FL 34952-3482
Mailing address
1373 SW California Blvd
Port Saint Lucie, FL 34953-1730
Phone (475) 685-0578
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1373 SW California Blvd
Port Saint Lucie, FL 34953-1730
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TPPA770 | FL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725753600000",
"number": "1598599813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1373 SW CALIFORNIA BLVD",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349531730",
"telephone_number": "475-685-0578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8980 S US HIGHWAY 1 STE 101",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349523482",
"telephone_number": "772-788-5770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTHELEMY",
"first_name": "KERLINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-28",
"last_updated": "2024-09-08",
"certification_date": "2024-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "TPPA770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Saint Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2024; 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.