Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053610964 Individual Practitioner Female Practitioner

Kendall Brodie Northcutt , PA-C

Physician Assistant • Lutz, FL

Professional Overview & Biography Verified Profile Summary

Kendall Northcutt, PA-C is a registered healthcare professional specializing in Physician Assistant in Lutz, FL. Practice services are available at 1854 OAK GROVE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1854 Oak Grove Blvd

Lutz, FL 335598605

Telephone 8134719709
Fax 8136811191
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Lutz, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.5 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
27 Specialists

Practicing in Lutz, FL (10376 Statewide)

Telehealth Adoption Rate
3.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-06-15
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9105895

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
NPI 1043743057

Doctor of Osteopathic Medicine (D.O.)

NPI 1144422171

Doctor of Osteopathic Medicine (D.O.)

Milena Gonzalez Lam

Social Worker - Clinical

NPI 1184052532
Carlos Pagan

Pediatrics

NPI 1205290673
Amanda Farris , LCSW

Social Worker - Clinical

NPI 1205454329

Licensed Clinical Social Worker

Kathlynn Atwater , ARNP

Nurse Practitioner - Pediatrics

NPI 1295914547

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location June 15, 2021

Registered at 1854 OAK GROVE BLVD, LUTZ, FL 335598605 (Tel: 8134719709)

📍
Updated Business Mailing Address June 15, 2021

Registered at 4033 TAMPA RD STE 101, OLDSMAR, FL 346773224 (Tel: 8138542003)

NPI Profile Active March 17, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location March 17, 2011

Registered at 4105 49TH ST N, ST PETERSBURG, FL 337095711 (Tel: 7275286900)

📍
Updated Business Mailing Address March 17, 2011

Registered at 11303 WESTON POINTE DR, APT 102, BRANDON, FL 335112712 (Tel: 8137285537)

👤
Provider Name / Credentials Updated March 17, 2011

Recorded as KENDALL NORTHCUTT, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2011

Physician Assistant (License #PA9105895 in FL)

🟢
Initial NPI Registration & Enumeration March 17, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053610964
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 17, 2011
Last Update: June 15, 2021
Sole Proprietor: No

Mailing Address

4033 Tampa Rd Ste 101

Oldsmar, FL 346773224

Phone: 8138542003

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.