Kendally Guardia, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9110863 Issued in FL

Practice address

280 SW Natura Ave
Deerfield Beach, FL 33441

Phone

(561) 549-9090

NPI assigned

Oct 23, 2017

Last updated

Aug 30, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

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  Medicare reassignment

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535587200000",
    "number": "1700397254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 N NOB HILL RD STE 311",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241708",
            "telephone_number": "561-549-9090",
            "fax_number": "954-353-5154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 SW NATURA AVE",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "33441",
            "telephone_number": "561-549-9090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1926 10th Ave N Ste 105",
            "address_purpose": "LOCATION",
            "city": "Lake Worth",
            "state": "FL",
            "postal_code": "334613300",
            "country_code": "US",
            "telephone_number": "615-345-5400",
            "fax_number": "888-468-6511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUARDIA",
        "first_name": "KENDALLY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-23",
        "last_updated": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9110863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylen Grover
• Marjorie Gruehn
• Brian Jeffrey Grundt, DO
• Grusky Chiropractic Health Center PA (Hillsboro Health & Wellness Center)
• Harold E. Grusky, D.C.
• Guardianpath Connections L.L.C
• Alexis Guerra Jr., M.D.
• Maricela Guerrero
• Stephanie Ann-Kucklick Guerrero
• Arlyne Guerrier

• Physician Assistant in Deerfield Beach, FL
• Providers in Deerfield 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 Aug 30, 2018; 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.

Verify at the official NPI Registry.