Kathryn Mariel Breithaupt

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

3051 Churchill Dr Ste 100
Flower Mound, TX 75022-5900

Phone

(817) 632-2336

Fax

(214) 556-9030

NPI assigned

Dec 13, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dallas Child Psychiatry,P.aGroup PAC ID 7618141433, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dallas Child Psychiatry,P.a

  • Adolescent and Children Mental Health Clinic/Center
  • Plano, TX
  • NPI 1700188760
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1063280600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3051 CHURCHILL DR STE 100",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750225900",
            "telephone_number": "817-632-2336",
            "fax_number": "214-556-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 CHURCHILL DR STE 100",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750225900",
            "telephone_number": "817-632-2336",
            "fax_number": "214-556-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREITHAUPT",
        "first_name": "KATHRYN",
        "middle_name": "MARIEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-13",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Braincare, LLC
• Braindocs
• Andrea Michelle Brandenburgh, PT, DPT
• Mackenzie Ann Brasher, LMFT, LPC, LCDC
• Lezli Ann Braswell, M.D.
• Sarah Turner Breitkreutz
• Brenda K Jennings DDS Inc
• Courtney Brent, DPT
• Alexis Brewer, RBT
• Briarwood Nursing Centers, L.L.C

• Physician Assistant in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.