Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 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

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Conviva Medical Center Management, LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 562 clinicians in the practice; 12 are shown here.

Other providers in Deerfield Beach