Kate Gwendolyn Ryals, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9101883 Issued in FL

Practice address

560 Avenue K SE
Winter Haven, FL 33880-4203

Phone

(863) 299-3376

Fax

(863) 299-2830

NPI assigned

Feb 6, 2006

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

Other identifiers 1

Other names 1

• Miss Kate Gwendolyn Foster Former name

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

Specialty

Physician Assistant

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Winter Haven Dermatology PAGroup PAC ID 2769581727, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Winter Haven Dermatology PA

  • Dermatology Physician
  • Winter Haven, FL
  • NPI 1528278363
  Medicare reassignment Care Compare group
• Howard Lucas MD PA

  • Ophthalmology Physician
  • Winter Haven, FL
  • NPI 1326373341
  NPD (past)

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221696000000",
    "number": "1942272802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 AVENUE K SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804203",
            "telephone_number": "863-299-3376",
            "fax_number": "863-299-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 AVENUE K SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804203",
            "telephone_number": "863-299-3376",
            "fax_number": "863-299-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYALS",
        "first_name": "KATE",
        "middle_name": "GWENDOLYN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2008-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9101883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "29081600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATE",
            "last_name": "FOSTER",
            "middle_name": "GWENDOLYN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erika Ruiz Rosario
• Kaeanna Allana Runcie, PHARMD
• Kristin Annmarie Rushing, AU.D
• Russel Hamarnah DMD PLLC
• Michelle Ruthann Rutledge, COTA/L
• Sa-PG-Winter Haven LLC
• Kimberly Nicole Saenz, MA
• Sage Counseling Center
• Sage Dental of Winter Haven PLLC
• Max Bond Saint Val

• Medical Physician Assistant in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.