Mara Anne Kryvicky, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9111263 Issued in FL

Practice address

907 N Federal Hwy
Boynton Beach, FL 33435-3224

Phone

(248) 762-8467

NPI assigned

Mar 23, 2020

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1679109540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 CLUBHOUSE ESTATES CT",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334111898",
            "telephone_number": "561-798-4984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 N FEDERAL HWY",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334353224",
            "telephone_number": "248-762-8467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRYVICKY",
        "first_name": "MARA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-23",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9111263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randall W Kreuzer, DPT
• Bruce E Krieg, O.D.
• Karen Kriger
• Edward Stephen Kris, MD
• Geddy Jay Krul, MD
• Jeffrey L Kugler, MD
• Kurt George Kull, O.D.
• Susan Kuncewitch, RN
• Anthony Thomas Kunnumpurath
• Elizabeth Ashley Kuntz, NTP, RWS

• Physician Assistant in Boynton Beach, FL
• Providers in Boynton Beach, 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 23, 2020; 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.