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

Mrs. Felicia D Kennicott, PA-C

Individual provider Medical Physician Assistant · NPI 1376710541

Mrs. Felicia D Kennicott, PA-C is a Physician Assistant in Deerfield Beach, Florida. Qualified in 2008, 18 years ago. Practices with Conviva Medical Center Management, LLC, a 562-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida and Georgia.

Years since qualifying
18
Licensed in
FL, GA
In the registry since
2008
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1979 W Hillsboro Blvd Ste 1
Deerfield Beach, FL 33442-1444
Phone: (954) 428-4800
Fax: (888) 498-4773
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1445 Nw Boca Raton Blvd, Boca Raton, FL 33432-1610 — (561) 338-7722
  • 4020 W Hillsboro Blvd, Deerfield Beach, FL 33442-9416 — (855) 226-6633
  • 100 Goshen Rd, Rincon, GA 31326-5545 — (912) 826-6000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9115617 (FL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA9115617 (FL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 5317 (GA)

Record details

NPI number1376710541
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 15, 2008
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Conviva Medical Center Management, Llc — 562 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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