Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miss. Kathleen A Greenfield, PA-C

Individual provider Medical Physician Assistant · NPI 1609901594

Miss. Kathleen A Greenfield, PA-C is a Physician Assistant in Bradenton, Florida. Qualified in 1986, 40 years ago. Practices with Intercoastal Medical Group Inc, a 177-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
40
Licensed in
FL
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

11505 Rangeland Pkwy
Bradenton, FL 34211-4041
Phone: (941) 907-6016
Fax: (941) 729-5267
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2662 (FL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA2662 (FL)

Record details

NPI number1609901594
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 22, 2007
Last updated in NPPESOctober 18, 2024
Certification dateOctober 18, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Group practice Intercoastal Medical Group Inc — 177 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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