KAITLAN GRIFFITH


Address: 5565 Dr Martin Luther King Jr St N, St Petersburg, FL 33703-1203
Phone: 7275771203

KAITLAN GRIFFITH (NPI# 1629534870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629534870
Entity Type Individual
Full Name KAITLAN GRIFFITH
Credential PA
Practice Address 5565 Dr Martin Luther King Jr St N
St Petersburg
FL 33703-1203
Mailing Address Po Box 55156
St Petersburg
FL 33732-5156
Practice Telephone 7275771203
Practice Fax Number 7275782322
Mailing Telephone 7275771203
Mailing Fax Number 7275782322
Enumeration Date 2019-02-13
Last Update Date 2019-02-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA9111929 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 5565 DR MARTIN LUTHER KING JR ST N
City ST PETERSBURG
State FL
Zip Code 33703-1203

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780792374 Walter G Griffith Jr. Psychiatry & Neurology 5565 Dr Martin Luther King Jr St N, St Petersburg, FL 33703-1203 2006-08-25
1578977567 Nancy J. Simons Ph.d. Psychologist 5565 Dr Martin Luther King Jr St N, St Petersburg, FL 33703-1203 2014-06-17
1881774677 Nancy Jane Simons Psychologist 5565 Dr Martin Luther King Jr St N, St Petersburg, FL 33703-1203 2006-10-16
1366533994 David Cubito Psychologist 5565 Dr Martin Luther King Jr St N, St Petersburg, FL 33703-1203 2006-09-27
1578675534 Walter G Griffith Jr Md Pa Psychiatry & Neurology 5565 Dr Martin Luther King Jr St N, St Petersburg, FL 33703-1203 2006-08-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376150276 Stephanie Gayle Barnes Rehabilitation Practitioner 610 47th Ave N, St Petersburg, FL 33703 2020-09-25
1366945099 St. Petersburg Free Clinic General Practice 5501 - 4th Street North, St. Petersburg, FL 33703 2018-03-08
1306381363 Dominique Timothee Behavioral Analyst 4301 16th Street N, St Petersburg, FL 33703 2016-12-30
1962849455 Bobbie Vaughn Behavioral Analyst 880 6th St. South, St. Petersburg, FL 33703 2013-05-24
1255672796 Mary Paige Bourbeau Nurse Practitioner 5500 9th St N., St Petersburg, FL 33703 2013-03-07
1437435237 Lynn Bonner-nelson Counselor 6161 Dr. Mlk Jr Street N. #204, Saint Petersburg, FL 33703 2011-10-25
1245545953 Patricia Reynolds Speech-Language Pathologist 3950 3rd Street North, Suite D, Community Rehab Associates, St. Petersburg, Fl, FL 33703 2010-08-18
1326367145 Sigurd T Rutkis Occupational Therapist 3835 1st Street Northeast, St. Petersburg, FL 33703 2010-05-18
1922338136 Christy Carr Mechanotherapist 5560 Kelly Dr N, Saint Petersburg, FL 33703 2010-01-11
1871730317 Ronald H Copenhaver Dmd Pa Dentist 4338 1st Street N, Suite C, St. Petersburg, FL 33703 2009-01-20
Find all providers in zip 33703

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558969378 Odalys Caro Physician Assistant 6500 20th St N, St Petersburg, FL 33702-7112 2020-10-14
1417587106 Hannah Newman Physician Assistant 1667 Brightwaters Blvd Ne, St Petersburg, FL 33704-3813 2020-01-22
1740752526 Michelle Ciesla Physician Assistant 2640 14th Ave N, St Petersburg, FL 33713-5813 2018-12-18
1205328978 Alfredo Jose Gotera Avila Physician Assistant 871 Ibis Walk Pl N Unit 3204, St Petersburg, FL 33716-3857 2018-05-30
1578074043 Ekta H Patel Physician Assistant 125 5th Ave Ne Apt 260, St Petersburg, FL 33701-3038 2017-10-23
1225495526 Kelly Marie Egan Physician Assistant 2736 4th Ave N, St Petersburg, FL 33713-7824 2016-01-19
1992125264 Casie J Parker Physician Assistant 603 7th Street S, Ste 540, St Petersburg, FL 33701 2014-04-24
1407174824 Gina Mendez Physician Assistant 7901 4th St N Ste 300, St Petersburg, FL 33702-4399 2010-05-10
1588990063 Garrett A Babbs Physician Assistant 1344 22nd St South, St Petersburg, FL 33712 2009-10-19
1720211725 Christina Marie Tomasino Physician Assistant 3140 9th Ave N, St Petersburg, FL 33713-6626 2009-08-25
Find all providers in ST PETERSBURG

Competitor

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City ST PETERSBURG
Zip Code 33703

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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