Kathleen A Duffy, CERTIFIED SURGICAL F

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

10297 SW West Park Ave
Port St Lucie, FL 34987-2118

Phone

(561) 251-1309

Fax

(772) 345-6120

NPI assigned

Mar 24, 2007

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

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Kad Surgical Assisting Inc

  • Surgical Physician Assistant
  • Boca Raton, FL
  • NPI 1801028675
  NPD (past) Authorized official
• Premier Surgical Assisting LLC

  • Surgical Physician Assistant
  • Port St Lucie, FL
  • NPI 1972958767
  NPD (past) Authorized official

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

{
    "created_epoch": "1174694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747526400000",
    "number": "1962529800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10297 SW WEST PARK AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349872118",
            "telephone_number": "561-251-1309",
            "fax_number": "772-345-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10297 SW WEST PARK AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349872118",
            "telephone_number": "561-251-1309",
            "fax_number": "772-345-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFFY",
        "first_name": "KATHLEEN",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "CERTIFIED SURGICAL F",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-24",
        "last_updated": "2025-05-18",
        "certification_date": "2025-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DT Clinical Port St Lucie
• Michelle Nicole Duane, DNP, APRN
• Jacqueline Dubreuil
• Emily Duffy, D.O.
• Eric Duffy, D.O.
• Chantelle Dufresne, D.O.
• Philip Duke, DDS
• Hilary Marie Dumas
• Stephanie T Dunbar, PHARM D
• Pretoria Duncan

• Surgical Physician Assistant in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.