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

Kelsey Nicole Thayer, PA-C

Individual provider Physician Assistant · NPI 1740966449

Kelsey Nicole Thayer, PA-C is a Physician Assistant in Santa Rosa, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1111 Sonoma Ave Ste 210
Santa Rosa, CA 95405-4833
Phone: (707) 324-3241
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (CA)

Record details

NPI number1740966449
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 26, 2023
Last updated in NPPESJune 26, 2023
Certification dateJune 26, 2023

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