Taylor Veldkamp, PA

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

15-02698 Issued in KS

Practice address

4201 Anderson Ave Ste C
Manhattan, KS 66503-7603

Phone

(785) 539-3504

NPI assigned

Feb 11, 2021

Last updated

Dec 1, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1083207963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 ANDERSON AVE STE C",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665037603",
            "telephone_number": "785-539-3504",
            "fax_number": "785-539-8597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 ANDERSON AVE STE C",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665037603",
            "telephone_number": "785-539-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELDKAMP",
        "first_name": "TAYLOR",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-11",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KS",
            "license": "15-02698",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "PA59101",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pulmonary Disease Physician in Manhattan, KS
• Providers in Manhattan, KS by specialty
• Pulmonary Disease Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.