Kellie Marie Thomas

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2025025116 Issued in IA

Practice address

4141 Grindstone Dr
Iowa City, IA 52240-8094

Phone

(319) 331-7554

NPI assigned

Oct 22, 2025

Last updated

Oct 22, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kellie Marie Watt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1761091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1093682072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 GRINDSTONE DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522408094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 GRINDSTONE DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522408094",
            "telephone_number": "319-331-7554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KELLIE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-22",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "2025025116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLIE",
            "last_name": "WATT",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hannah Thomas, MCN, RDN, LD
• Jacob Thomas, M.D.
• Jessica Rae Thomas, ARNP, PMHNP-BC
• Joss J Thomas, MD MPH
• Katelynn Thomas
• Mark Thomas, PHD
• Micheal Rajni Thomas, MD
• Robert D. Thomas, M.D.
• Sarah Thomas, MD
• Bruna Maria Thompson Jacinto, MD

• Family Nurse Practitioner in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.