Individual provider Active NPI

Kim Elizabeth Schlosberg, PA

  • Physician Assistant
  • University Park, FL
National Provider Identifier
1659454965
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9103971 Issued in FL
Practice address
8131 Cooper Creek Blvd # 10
University Park, FL 34201-2008
Phone
(941) 399-3688
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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 PA9103971 FL Primary

Addresses

Primary practice location

8131 Cooper Creek Blvd # 10
University Park, FL 34201-2008

Mailing address

5429 Coral Reef Way
Bradenton, FL 34211-1443
Phone (941) 399-3688

Other identifiers 1

IdentifierTypeStateIssuer
650501582OtherFLTAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1659454965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5429 CORAL REEF WAY",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342111443",
            "telephone_number": "941-399-3688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8131 COOPER CREEK BLVD # 10",
            "city": "UNIVERSITY PARK",
            "state": "FL",
            "postal_code": "342012008",
            "telephone_number": "941-399-3688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLOSBERG",
        "first_name": "KIM",
        "middle_name": "ELIZABETH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9103971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "650501582",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in University Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.