Individual provider Active NPI

Kyla Paige Doubek, PA-C

  • Physician Assistant
  • Saint Petersburg, FL
National Provider Identifier
1750268009
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9120268 Issued in FL
Practice address
1416 Locust St NE Apt a
Saint Petersburg, FL 33704-4733
Phone
(419) 612-2520
NPI assigned
Aug 19, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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 PA9120268 FL Primary

Addresses

Primary practice location

1416 Locust St NE Apt a
Saint Petersburg, FL 33704-4733

Mailing address

1416 Locust St NE
St Petersburg, FL 33704-4733
Phone (419) 612-2520

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
I20251005000041 FL Practitioner - Physician Assistant 2365948627 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayside Urgent Care Center Inc.Group PAC ID 3375700180, 4 clinicians
A Family Urgent Care LLCGroup PAC ID 4183914724, 7 clinicians

Practice addresses (Care Compare)

1001 S Fort Harrison Ave
Suite 101
Clearwater, FL 33756-3905

3345 S Dale Mabry Hwy
Tampa, FL 33629-7817
Phone (813) 234-0100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bayside Urgent Care Center Inc. CurrentSince Aug 25, 2025 Accepting new patients

Locations

1001 S Fort Harrison Ave
Ste 101
Clearwater, FL 33756
Phone (727) 441-5044

Organizations & group practices 2

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": "1755561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1750268009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 LOCUST ST NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337044733",
            "telephone_number": "419-612-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 LOCUST ST NE APT A",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337044733",
            "telephone_number": "419-612-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUBEK",
        "first_name": "KYLA",
        "middle_name": "PAIGE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-19",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9120268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

Verify at the official NPI Registry.