Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KAIYA MARE' SUNDEEN
NPI 1659110906
Physician Assistant in Portland, ME

Q: What is Kaiya Sundeen's NPI number?

The NPI number for Kaiya Sundeen is 1659110906. It was assigned to this individual provider in the NPPES registry on May 24, 2024.

Q: What is Kaiya Sundeen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kaiya Sundeen was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 24, 2024

716 STEVENS AVE, PORTLAND, ME 04103(715) 220-6250 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Kaiya Mare' Sundeen NPPES

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

KAIYA MARE' SUNDEEN (NPI 1659110906) is an individual physician assistant in Portland, Maine, licensed in Rhode Island (PA01951) and active in the NPI registry since May 2024. She maintains 4 additional practice locations.

NPPES Registry Identity

NPI1659110906

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKAIYA MARE' SUNDEEN

Location Address716 STEVENS AVEPortland, ME 04103-2693

Mailing Address716 Stevens AvePortland, ME 04103-2693

Phone(715) 220-6250

Sole ProprietorNo

Enumeration DateMay 24, 2024

Last NPPES UpdateJuly 31, 2026

NPPES CertifiedJuly 31, 2026

✔ NPI 1659110906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in RI · PA01951

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

716 STEVENS AVE, Portland, ME 04103

Open in Google Maps ↗

Secondary Practice Locations 4

Location 1360 Kingstown Rd Unit 101Narragansett, RI 02882-3258 · Phone (401) 767-4100

Location 2450 Clinton StWoonsocket, RI 02895-3207 · Phone (401) 767-4100

Location 3186 Providence StWest Warwick, RI 02893-2508 · Phone (401) 767-4100

Location 41 River StWakefield, RI 02879-3214 · Phone (401) 767-4100

Other Providers at the Same Location NPPES 20

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

PIPER NOELLA DESORCIE

Student in an Organized Health Care Education/Training Program