Active NPI
Katherine Kristen Thomas
- Physician Assistant
- Fort Myers, FL
National Provider Identifier
1396513685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9118053
- Practice address
- 9852 Weather Stone PL
Fort Myers, FL 33913-6779 - Phone
- (239) 849-8214
- NPI assigned
- Dec 15, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9118053 | FL | Primary |
Addresses
Primary practice location
9852 Weather Stone PL
Fort Myers, FL 33913-6779
Mailing address
9852 Weather Stone PL
Fort Myers, FL 33913-6779
Phone (239) 849-8214
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9118053 | FL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702598400000",
"number": "1396513685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9852 WEATHER STONE PL",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339136779",
"telephone_number": "239-849-8214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9852 WEATHER STONE PL",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339136779",
"telephone_number": "239-849-8214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "KATHERINE",
"middle_name": "KRISTEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-15",
"last_updated": "2023-12-15",
"certification_date": "2023-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "9118053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.