Individual provider Active NPI

Kamryn Renae Quinn, PA

  • Physician Assistant
  • Wellington, FL
National Provider Identifier
1043128556
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
121 S State Road 7
Wellington, FL 33414-4338
Phone
(561) 296-9666
Fax
(561) 296-9667
NPI assigned
Aug 28, 2026
Last updated
Oct 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X FL Primary

Addresses

Primary practice location

121 S State Road 7
Wellington, FL 33414-4338

Mailing address

4809 Sawgrass Breeze Dr
Palm Beach Gardens, FL 33418-6791
Phone (561) 427-8055

Other practice location 1

200 Glades Rd Ste 1
Boca Raton, FL 33432-1423
Phone (561) 372-7546

Other practice location 2

6642 Atlantic Ave
Delray Beach, FL 33446-1616
Phone (561) 921-2221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1787875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792108800000",
    "number": "1043128556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4809 SAWGRASS BREEZE DR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334186791",
            "telephone_number": "561-427-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S STATE ROAD 7",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334144338",
            "telephone_number": "561-296-9666",
            "fax_number": "561-296-9667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Glades Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334321423",
            "country_code": "US",
            "telephone_number": "561-372-7546",
            "fax_number": "561-395-8860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6642 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334461616",
            "country_code": "US",
            "telephone_number": "561-921-2221",
            "fax_number": "561-921-2220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINN",
        "first_name": "KAMRYN",
        "middle_name": "RENAE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-28",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.