Individual provider Active NPI

Taylor Kane, PA-C

  • Physician Assistant
  • Palm Beach Gardens, FL
National Provider Identifier
1942938725
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9116257 Issued in FL
Practice address
3365 Burns Rd Ste 203
Palm Beach Gardens, FL 33410-4303
Phone
(561) 220-8439
NPI assigned
Aug 10, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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 PA9116257 FL Primary

Addresses

Primary practice location

3365 Burns Rd Ste 203
Palm Beach Gardens, FL 33410-4303

Mailing address

301 E 32ND St
Sioux Falls, SD 57105-3940
Phone (320) 339-4477

Other practice location 1

301 E 32nd St
Sioux Falls, SD 57105-3940
Phone (320) 339-4477

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
I20230316000213 FL Practitioner - Physician Assistant 9335513241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Stedfast Medical Services LLCGroup PAC ID 4981000999, 46 clinicians

Practice addresses (Care Compare)

3365 Burns Rd
Suite 203
Palm Beach Gardens, FL 33410-4303
Phone (561) 402-3971

National Provider Directory

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

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": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1942938725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E 32ND ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571053940",
            "telephone_number": "320-339-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3365 BURNS RD STE 203",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104303",
            "telephone_number": "561-220-8439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 E 32nd St",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571053940",
            "country_code": "US",
            "telephone_number": "320-339-4477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANE",
        "first_name": "TAYLOR",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9116257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.