MS. KELLY LEE THATCHER ARNP-C NPI 1568989317

NPI Information

  • NPI: 1568989317
  • Provider Name: MS. KELLY LEE THATCHER, ARNP-C
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Individual
  • Address: 3001 W DR MARTIN LUTHER KING JR BLVD FL 1
    TAMPA, FL
    ZIP 33607
  • Phone: (813) 870-4619

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NPI Details

MS. Kelly Lee Thatcher, ARNP-C is a primary care nurse practitioner in Tampa, FL. MS. Kelly Lee Thatcher, ARNP-C NPI is 1568989317. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3001 W DR MARTIN LUTHER KING JR BLVD FL 1
TAMPA, FL
ZIP 33607
Phone: (813) 870-4619
Fax: (813) 554-8956

The enumeration date for this NPI number is 8/23/2017 and was last updated on 8/31/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP0200XRegistered NursePediatrics9221346FLORIDANo
2363LP2300XNurse PractitionerPrimary CareARNP9221346FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1023380000MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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