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KENDALL BRODIE NORTHCUTT PA-C
NPI 1053610964
Physician Assistant in Lutz, FL

Active since March 17, 2011
1854 OAK GROVE BLVD, LUTZ, FL 33559(813) 471-9709(813) 681-1191 Get Directions Write a Review

NPPES record last updated: June 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kendall Brodie Northcutt Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENDALL BRODIE NORTHCUTT PA-C (NPI 1053610964) is an individual physician assistant in Lutz, Florida, licensed in Florida (PA9105895) and active in the NPI registry since March 2011.

NPPES Registry Identity

NPI1053610964
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKENDALL BRODIE NORTHCUTTCredential: PA-C
Location Address1854 OAK GROVE BLVDLutz, FL 33559-8605
Mailing Address4033 Tampa Rd Ste 101Oldsmar, FL 34677-3224 · (813) 854-2003 · Fax (813) 436-5378
Phone(813) 471-9709
Fax(813) 681-1191
Sole ProprietorNo
Enumeration DateMarch 17, 2011
Last NPPES UpdateJune 15, 2021
NPPES CertifiedJune 15, 2021
✔ NPI 1053610964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9105895
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.
1854 OAK GROVE BLVD, Lutz, FL 33559
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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT ANTHONY BUZZEO MD
Pediatrics
1854 OAK GROVE BLVD
LUTZ, FL 33559
Hillsborough County (813) 948-6133
DR. MILDRED JAZMINE PEREA-BONET MD
Pediatrics
1854 OAK GROVE BLVD
LUTZ, FL 33559
Hillsborough County (813) 948-6133
JACQUELINE VICTORIA HARTMAN MD
Pediatrics
1854 OAK GROVE BLVD
LUTZ, FL 33559
Hillsborough County (813) 948-6133
RYAN ALLEN BAKER M.D.
Pediatrics
1854 OAK GROVE BLVD
LUTZ, FL 33559
Hillsborough County (813) 948-6133
GABRIELLE MAI APRN
Nurse Practitioner (Pediatrics)
1854 OAK GROVE BLVD
LUTZ, FL 33559
Hillsborough County (813) 948-6133
PEDIATRIC HEALTH CARE ALLIANCE, PA
Pediatrics
1854 OAK GROVE BLVD
LUTZ, FL 33559
Hillsborough County (813) 948-6133
JAMEKA L MINOR RCSWI
Social Worker
1854 OAK GROVE BLVD
LUTZ, FL 33559
Hillsborough County (813) 471-9709
ALICE G CHASE LMHC
Counselor (Mental Health)
1854 OAK GROVE BLVD
LUTZ, FL 33559
Hillsborough County (813) 347-2735

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kendall Northcutt's NPI number?

The NPI number for Kendall Northcutt is 1053610964. It was assigned to this individual provider in the NPPES registry on March 17, 2011.

Where is Kendall Northcutt located?

Kendall Northcutt practices at 1854 Oak Grove Blvd, Lutz, FL 33559. The listed phone number is (813) 471-9709.

What is Kendall Northcutt's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kendall Northcutt was last updated on June 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.