Active NPI
Kristen N Sweeney, PA-C
- Physician Assistant
- Fleming Island, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9109458
- Practice address
- 2310 Village Square Pkwy Ste 204
Fleming Island, FL 32003-6409 - Phone
- (904) 224-5185
- Fax
- (905) 376-3202
- NPI assigned
- Jun 9, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9109458 | FL | Primary |
| Physician Assistant | 363A00000X | PA2014-0042 | NM | |
| Physician Assistant | 363A00000X | PA001212 | ME |
Addresses
Primary practice location
2310 Village Square Pkwy Ste 204
Fleming Island, FL 32003-6409
Mailing address
PO Box 746652
Atlanta, GA 30374-6652
Phone (047) 200-5999
Other practice location 1
1235 8th St
ECFH Las Vegas Clinic
Las Vegas, NM 87701-4219
Phone (505) 425-6788
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9109458 | FL | MD | Physician Assistant |
| PA001212 | ME | MD | Physician Assistant |
| PA2014-0042 | NM | MD | Physician Assistant |
| 2812 | SC | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FL-I Medical Services LLC | Physician Assistant | Current | Accepting new patients |
| FL-I Medical Services, LLC | Physician Assistant | Current | Accepting new patients |
| Baptist Cardiology, Inc. | Physician Assistant | Current | Accepting new patients |
| El Centro Family Health | Past | Accepting new patients | |
| El Centro Family Health | Past | Accepting new patients |
Locations
2310 Village Square Pkwy
Ste 204
Fleming Island, FL 32003
Phone (904) 224-5185
14534 Old Saint Augustine Rd
Ste 3420
Jacksonville, FL 32258
Phone (904) 493-8001
836 Prudential Dr
Ste 1700
Jacksonville, FL 32207
Phone (904) 398-0125
Interoperability endpoints
- kristen.sweeney.1@14940.direct.athenahealth.com
- ksweeney182509@baptisthealthsystemjacksonville.direct-ci.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Baptist Heart Specialists
- Cardiovascular Disease Physician
- Jacksonville, FL
- NPI 1760751598
Physician Assistant
-
- Nurse Practitioner
- Fort Pierce, FL
- NPI 1750655106
-
- Physician Assistant
- Haines City, FL
- NPI 1285356790
-
- Emergency Medicine Physician
- Gainesville, FL
- NPI 1871155887
Physician Assistant
-
- Federally Qualified Health Center (FQHC)
- Wagon Mound, NM
- NPI 1538324223
-
- Federally Qualified Health Center (FQHC)
- Espanola, NM
- NPI 1780689034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780617600000",
"number": "1619297959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746652",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746652",
"telephone_number": "047-200-5999",
"fax_number": "904-376-4036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2310 VILLAGE SQUARE PKWY STE 204",
"city": "FLEMING ISLAND",
"state": "FL",
"postal_code": "320036409",
"telephone_number": "904-224-5185",
"fax_number": "905-376-3202"
}
],
"practiceLocations": [
{
"address_1": "1235 8th St",
"address_2": "ECFH Las Vegas Clinic",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NM",
"postal_code": "877014219",
"country_code": "US",
"telephone_number": "505-425-6788",
"fax_number": "505-425-5408",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SWEENEY",
"first_name": "KRISTEN",
"middle_name": "N",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-09",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9109458",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NM",
"license": "PA2014-0042",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ME",
"license": "PA001212",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fleming Island, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.