Active NPI
Kaitlyn Devine, PA
- Physician Assistant
- Auburn, NY
National Provider Identifier
1639093545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 036257
- Practice address
- 37 W Garden St Ste 203
Auburn, NY 13021-2657 - Phone
- (315) 567-0507
- NPI assigned
- Aug 5, 2026
- 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 | 036257 | NY | Primary |
Addresses
Primary practice location
37 W Garden St Ste 203
Auburn, NY 13021-2657
Mailing address
3027 Brickwalk Way
Baldwinsville, NY 13027-6130
Phone (315) 726-2524
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": "1785888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786060800000",
"number": "1639093545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3027 BRICKWALK WAY",
"city": "BALDWINSVILLE",
"state": "NY",
"postal_code": "130276130",
"telephone_number": "315-726-2524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 W GARDEN ST STE 203",
"city": "AUBURN",
"state": "NY",
"postal_code": "130212657",
"telephone_number": "315-567-0507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVINE",
"first_name": "KAITLYN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-05",
"last_updated": "2026-08-07",
"certification_date": "2026-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "036257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.