Individual provider Active NPI

Kaitlyn Doll

  • Physician Assistant
  • Plano, TX
National Provider Identifier
1366205601
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA17631 Issued in TX
Practice address
6124 W Parker Rd Ste 234
Plano, TX 75093-8124
Phone
(972) 468-9999
Fax
(972) 981-3600
NPI assigned
Jan 31, 2024
Last updated
Jan 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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 PA17631 TX Primary

Addresses

Primary practice location

6124 W Parker Rd Ste 234
Plano, TX 75093-8124

Mailing address

6124 W Parker Rd Ste 234
Plano, TX 75093-8124
Phone (972) 468-9999

Other practice location 1

255 W Lebanon Ste 208
Frisco, TX 75036-3404
Phone (972) 468-9999

Other practice location 2

6124 W Parker Rd Ste 230
Plano, TX 75093-8124
Phone (972) 468-9999

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241227000947 TX Practitioner - Physician Assistant 8325575608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Internal Medicine Associates of Plano PAGroup PAC ID 0143395343, 26 clinicians

Practice addresses (Care Compare)

6124 W Parker Rd
Plano, TX 75093-8124
Phone (972) 981-7500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA17631TXMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: kaitlyn.doll@imapmd.eclinicaldirectplus.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1366205601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6124 W PARKER RD STE 234",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938124",
            "telephone_number": "972-468-9999",
            "fax_number": "972-981-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6124 W PARKER RD STE 234",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938124",
            "telephone_number": "972-468-9999",
            "fax_number": "972-981-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 W Lebanon Ste 208",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750363404",
            "country_code": "US",
            "telephone_number": "972-468-9999",
            "fax_number": "972-981-3600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6124 W Parker Rd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750938124",
            "country_code": "US",
            "telephone_number": "972-468-9999",
            "fax_number": "972-981-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOLL",
        "first_name": "KAITLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA17631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.