Individual provider Active NPI

Kara Elizabeth Villanella

  • Physician Assistant
  • Coral Springs, FL
National Provider Identifier
1609339373
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9113846 Issued in FL
Practice address
9750 NW 33Rd St Ste 212
Coral Springs, FL 33065-4081
Phone
(954) 534-4701
NPI assigned
Apr 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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 9113846 FL Primary

Addresses

Primary practice location

9750 NW 33Rd St Ste 212
Coral Springs, FL 33065-4081

Mailing address

7593 W Boynton Beach Blvd Ste 220
Boynton Beach, FL 33437-6162
Phone (561) 678-2652

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
I20210105002651 FL Practitioner - Physician Assistant 0941613236 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthcare Associates of Palm Beach LLCGroup PAC ID 7719220128, 4 clinicians

Practice addresses (Care Compare)

7730 Boynton Beach Blvd
Suite 3
Boynton Beach, FL 33437-6155
Phone (561) 877-1800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9113846FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Associates of Palm Beach LLC CurrentSince Apr 16, 2024 Accepting new patients
Medical Specialists of the Palm Beaches Inc CurrentSince Jul 31, 2023 Accepting new patients
MD Now Medical Centers Inc CurrentSince Dec 15, 2020 Accepting new patients
Medical Specialists of the Palm Beaches Inc CurrentSince Jul 31, 2023 Accepting new patients

Locations

7730 W Boynton Beach Blvd
Ste 3
Boynton Beach, FL 33437
Phone (561) 742-4460

7593 W Boynton Beach Blvd
Ste 220
Boynton Beach, FL 33437
Phone (561) 649-7000

9750 NW 33rd St
Ste 212
Coral Springs, FL 33065
Phone (954) 546-2688

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141

Interoperability endpoints

  • Direct secure messaging: kara.reid.1@24168.direct.athenahealth.com

Organizations & group practices 4

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": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1609339373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7593 W BOYNTON BEACH BLVD STE 220",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334376162",
            "telephone_number": "561-678-2652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9750 NW 33RD ST STE 212",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654081",
            "telephone_number": "954-534-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANELLA",
        "first_name": "KARA",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-10",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9113846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.