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

KAITLYN ROSE THAO
NPI 1881443265
Physician Assistant in Minneapolis, MN

Active since May 16, 2024
2211 RIVERSIDE AVE, MINNEAPOLIS, MN 55454(651) 497-1143 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 23, 2026, May 16, 2024 (2 updates tracked since 2024).

About Kaitlyn Rose Thao NPPES

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

KAITLYN ROSE THAO (NPI 1881443265) is an individual physician assistant in Minneapolis, Minnesota and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1881443265
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKAITLYN ROSE THAO
Location Address2211 RIVERSIDE AVEMinneapolis, MN 55454-1350
Mailing Address4300 Market Pte Dr Ste 100Bloomington, MN 55435-5435 · (952) 767-4574
Phone(651) 497-1143
Sole ProprietorNo
Enumeration DateMay 16, 2024
Last NPPES UpdateSeptember 23, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2026
✔ NPI 1881443265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
2211 RIVERSIDE AVE, Minneapolis, MN 55454
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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.

COURTNEY FIELDS
Student in an Organized Health Care Education/Training Program
2211 RIVERSIDE AVE, CAMPUS BOX 149
MINNEAPOLIS, MN 55454
Hennepin County (612) 330-1388
SKYLAR ROSE KAMROWSKI PA-S
Student in an Organized Health Care Education/Training Program
2211 RIVERSIDE AVE, CAMPUS BOX 149
MINNEAPOLIS, MN 55454
Hennepin County (507) 429-5447
ALEXANDREA MARIE KOWALKE
Student in an Organized Health Care Education/Training Program
2211 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (763) 273-0177
SHAMSO HAJI JAMA
Physician Assistant
2211 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 330-1399
KASSONDRA JO NORDMEYER ATC
Specialist/Technologist (Athletic Trainer)
2211 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 330-1108
ZEA MARIE MILLICENT WOODS
Student in an Organized Health Care Education/Training Program
2211 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 330-1399
ERIN MARIE WALKER
Student in an Organized Health Care Education/Training Program
2211 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 330-1000
YU PENG HER
Student in an Organized Health Care Education/Training Program
2211 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (651) 528-0918

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 Kaitlyn Thao's NPI number?

The NPI number for Kaitlyn Thao is 1881443265. It was assigned to this individual provider in the NPPES registry on May 16, 2024.

Where is Kaitlyn Thao located?

Kaitlyn Thao practices at 2211 Riverside Ave, Minneapolis, MN 55454. The listed phone number is (651) 497-1143.

What is Kaitlyn Thao'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 Kaitlyn Thao was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.