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

Kathryn Mariel Breithaupt

Individual provider Physician Assistant · NPI 1063280600

Kathryn Mariel Breithaupt is a Physician Assistant in Flower Mound, Texas. Qualified in 2024, 2 years ago. Practices with Dallas Child Psychiatry, PA, a 5-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
2
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

3051 Churchill Dr Ste 100
Flower Mound, TX 75022-5900
Phone: (817) 632-2336
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1063280600
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 13, 2023
Last updated in NPPESJuly 22, 2026
Certification dateJuly 22, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Dallas Child Psychiatry,P.A — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Flower Mound