Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kaitlyn Roeder, PA

Individual provider Physician Assistant · NPI 1083455182

Kaitlyn Roeder, PA is a Physician Assistant in Brandon, Florida. Qualified in 2025, 1 year ago. Works from 5 locations. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2024
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

414 W Robertson St
Brandon, FL 33511-5007
Phone: (813) 701-5804
Fax: (813) 291-7615
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 28050 Us Highway 19 N Ste 100, Clearwater, FL 33761-2600 — (813) 701-5804
  • 2310 North Blvd W Ste A, Davenport, FL 33837-8988 — (813) 701-5804
  • 7032 Us Highway 301 N, Ellenton, FL 34222-3030 — (813) 701-5804
  • 1611 Harden Blvd, Lakeland, FL 33803-1826 — (813) 701-5804

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9121071 (FL)

Record details

NPI number1083455182
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 3, 2024
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026
Mailing addressPo Box 25201, Tampa, FL 33622-5201

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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