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KATHLEEN MARIE THAXTER PA-C
NPI 1679633317
Physician Assistant in Fort Pierce, FL

Active since December 11, 2006
727 NORTH US 1, FORT PIERCE, FL 34950(772) 595-5150 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathleen Marie Thaxter Pa-c NPPES

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

KATHLEEN MARIE THAXTER PA-C (NPI 1679633317) is an individual physician assistant in Fort Pierce, Florida, licensed in Florida (PA9103098) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1679633317
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATHLEEN MARIE THAXTERCredential: PA-C
Location Address727 NORTH US 1Fort Pierce, FL 34950
Mailing Address4537 Sw Yamada DrPort St Lucie, FL 34953-6758 · (954) 309-8022
Phone(772) 595-5150
Sole ProprietorNo
Enumeration DateDecember 11, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1679633317 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 · PA9103098
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.
727 NORTH US 1, Fort Pierce, FL 34950
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Other Names 1

Former Name (1)Kathleen Marie Davis Pa-c

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 Kathleen Thaxter's NPI number?

The NPI number for Kathleen Thaxter is 1679633317. It was assigned to this individual provider in the NPPES registry on December 11, 2006. The provider is also known as Kathleen Marie Davis Pa-C.

Where is Kathleen Thaxter located?

Kathleen Thaxter practices at 727 North Us 1, Fort Pierce, FL 34950. The listed phone number is (772) 595-5150.

What is Kathleen Thaxter'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 Kathleen Thaxter was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.