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

MS. Kelly Lee Thatcher, ARNP-C

Individual provider Pediatric Registered Nurse · NPI 1568989317

MS. Kelly Lee Thatcher, ARNP-C is a Nurse Practitioner in Tampa, Florida. Qualified in 2017, 9 years ago. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

3001 W Dr Martin Luther King Jr Blvd Fl 1
Tampa, FL 33607
Phone: (813) 870-4619
Fax: (813) 554-8956
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence ARNP9221346 (FL)
Pediatric Registered Nurse Taxonomy 163WP0200X · Licence 9221346 (FL)

Record details

NPI number1568989317
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP-C
Sole proprietorNo
NPI enumeratedAugust 23, 2017
Last updated in NPPESAugust 31, 2018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated

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