Kristin N Anglin-Moore, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9110558 Issued in FL

Practice address

400 N Hiatus Rd Ste 105
Pembroke Pines, FL 33026-5214

Phone

(954) 431-8000

Fax

(954) 436-0449

NPI assigned

Aug 28, 2017

Last updated

Mar 31, 2020By 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 2

Addresses

Other identifiers 1

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kanglin-moore@pa.trimed.direct-ci.com

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.

• Associates in Family Practice of Broward LLC

  • Family Medicine Physician
  • Davie, FL
  • NPI 1609823632
  NPD
• Saltzman, Tanis, Pittell, Levin and Jacobson

  dba Pediatric Associates

  • Pediatrics Physician
  • Hollywood, FL
  • NPI 1639138480
  NPD (past)
• Saltzman, Tanis, Pittell, Levin and Jacobson, LLC

  dba Pediatric Associates

  • Pediatrics Physician
  • Pembroke Pines, FL
  • NPI 1881802544
  NPD (past)

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1942727268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 NW 155TH LN APT 107",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331696312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N HIATUS RD STE 105",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330265214",
            "telephone_number": "954-431-8000",
            "fax_number": "954-436-0449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2004 N Flamingo Rd",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330283500",
            "country_code": "US",
            "telephone_number": "954-450-8500",
            "fax_number": "954-450-8502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1220 NW 155th Ln Apt 107",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331696312",
            "country_code": "US",
            "telephone_number": "786-391-4804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANGLIN-MOORE",
        "first_name": "KRISTIN",
        "middle_name": "N",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-28",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9110558",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9110558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105650800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelo P Thrower MD PA
• Daniella Angelo
• Angels Family Home Healthcare LLC
• Caitlin Angiolillo, RN
• Melissa Anglero, DO
• Marisabel Anido Herrera
• Annabel Perez PLLC (Total Dental Solutions)
• Annjannette Sas-Galvez, Psy.D.
• Anointed Care Agency, LLC
• Leticia Noemi Anon, APRN

• Medical Physician Assistant in Pembroke Pines, FL
• Providers in Pembroke Pines, 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 Mar 31, 2020; 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.