Active NPI
Christine Kearney
- Physician Assistant
- Tamarac, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9112698
- Practice address
- 7351 W Oakland Park Blvd Ste 101
Tamarac, FL 33319-7107 - Phone
- (954) 748-2500
- NPI assigned
- Oct 28, 2019
- Last updated
- Oct 28, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 9112698 | FL | Primary |
Addresses
Primary practice location
7351 W Oakland Park Blvd Ste 101
Tamarac, FL 33319-7107
Mailing address
13811 Cumberland PL
Davie, FL 33325-1231
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9112698 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seattle Childrens Hospital | Current | Accepting new patients | |
| Seattle Children's Hospital | Current | Accepting new patients | |
| Seattle Children's Hospital | Past | Accepting new patients |
Locations
1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141
8232 W Grandridge Blvd
Kennewick, WA 99336
Phone (509) 582-1700
1780 NW Myhre Rd
Ste 2120
Silverdale, WA 98383
Phone (360) 782-3100
Interoperability endpoints
- ckearney70786@direct.seattlechildrens.org
Organizations & group practices 4
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.
-
- Specialist
- Seattle, WA
- NPI 1003319500
-
- Children's Hospital
- Seattle, WA
- NPI 1467536276
-
dba Seattle Childrens Outpatient Pharmacy
- Clinic Pharmacy
- Seattle, WA
- NPI 1245342153
-
- Home Infusion Agency
- Bothell, WA
- NPI 1245383348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572220800000",
"number": "1932743499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13811 CUMBERLAND PL",
"city": "DAVIE",
"state": "FL",
"postal_code": "333251231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7351 W OAKLAND PARK BLVD STE 101",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333197107",
"telephone_number": "954-748-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEARNEY",
"first_name": "CHRISTINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-28",
"last_updated": "2019-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "9112698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tamarac, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.