Individual provider Active NPI

Kathryn Danielle Lovett, PA-C

  • Physician Assistant
  • Prosper, TX
National Provider Identifier
1700636693
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA17954 Issued in TX
Practice address
240 S Preston Rd Ste 40
Prosper, TX 75078-3527
Phone
(972) 919-0010
NPI assigned
Mar 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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 PA17954 TX Primary

Addresses

Primary practice location

240 S Preston Rd Ste 40
Prosper, TX 75078-3527

Mailing address

240 S Preston Rd Ste 40
Prosper, TX 75078-3527
Phone (972) 919-0010

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

LicenseStateTypeSpecialty
PA17954TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dinah Wan, M.D., P.a. CurrentSince Jan 19, 2025 Accepting new patients

Locations

240 S Preston Rd
Ste 40
Prosper, TX 75078
Phone (972) 919-0010

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1700636693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 S PRESTON RD STE 40",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750783527",
            "telephone_number": "972-919-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 S PRESTON RD STE 40",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750783527",
            "telephone_number": "972-919-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVETT",
        "first_name": "KATHRYN",
        "middle_name": "DANIELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-25",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA17954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prosper, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.