Active NPI
Kayla Piatkowski, PA
- Physician Assistant
- Tampa, FL
National Provider Identifier
1821763541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9115130
- Practice address
- 124 S Morgan St Unit 2425
Tampa, FL 33602-5360 - Phone
- (908) 721-2190
- NPI assigned
- Aug 13, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9115130 | FL | Primary |
Addresses
Primary practice location
124 S Morgan St Unit 2425
Tampa, FL 33602-5360
Mailing address
124 S Morgan St Unit 2425
Tampa, FL 33602-5360
Phone (908) 721-2190
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240102003300 | FL | Practitioner - Physician Assistant | 8729438817 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9115130 | FL | MD | Physician Assistant |
Interoperability endpoints
- kpiatkowski1036131@direct.hopkinsmedicine.org
Organizations & group practices 1
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": "1628812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633910400000",
"number": "1821763541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 S MORGAN ST UNIT 2425",
"city": "TAMPA",
"state": "FL",
"postal_code": "336025360",
"telephone_number": "908-721-2190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 S MORGAN ST UNIT 2425",
"city": "TAMPA",
"state": "FL",
"postal_code": "336025360",
"telephone_number": "908-721-2190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIATKOWSKI",
"first_name": "KAYLA",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-13",
"last_updated": "2021-10-11",
"certification_date": "2021-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9115130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.