Mackenzie Noelle Thayer

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

15882 Issued in MN

Practice address

2100 Gardiner LN
Louisville, KY 40205-2962

Phone

(502) 413-8640

NPI assigned

Aug 25, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1787616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1841107158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 GARDINER LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402052962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 GARDINER LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402052962",
            "telephone_number": "502-413-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAYER",
        "first_name": "MACKENZIE",
        "middle_name": "NOELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-25",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "15882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Gwen Tharpe, L.M.F.T.
• Arsenio O'Neal Thatch, RBT
• Thauberger Chiropractic PSC. (Thauberger Wellness Chiropractic Center)
• Devin J Thauberger, D.C.
• Teresa Thaut, RD,LD,CD,CNSD
• The Academy for Individual Excellence, Inc.
• The Afterglow in Mental Health
• The Beauty Within LLC
• The Best Kids, PLC
• The Better Together Collective Inc

• Physician Assistant in Louisville, KY
• Providers in Louisville, KY by specialty
• Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.