Individual provider Active NPI

Katherine Dolores Standley, DO

  • Neurology Physician
  • Tampa, FL
National Provider Identifier
1154556181
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
OS11907 Issued in FL
Practice address
3000 Medical Park Dr Ste 510
Tampa, FL 33613-6602
Phone
(813) 615-7725
Fax
(813) 615-7082
NPI assigned
May 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X OS11907 FL Primary

Addresses

Primary practice location

3000 Medical Park Dr Ste 510
Tampa, FL 33613-6602

Mailing address

13067 N Telecom Pkwy
Temple Terrace, FL 33637-0926
Phone (813) 773-6658

Other practice location 1

2352 Bruce B Downs Blvd Ste 206
Wesley Chapel, FL 33544-9203
Phone (813) 528-4843

Other practice location 2

27416 Cashford Cir Ste 101
Wesley Chapel, FL 33544-6938
Phone (813) 528-4843

Other practice location 3

28519 Tupper Rd
Wesley Chapel, FL 33545-4301
Phone (813) 505-2023

Other practice location 4

13067 N Telecom Pkwy
Temple Terrace, FL 33637-0926
Phone (813) 773-6658

Other identifiers 1

IdentifierTypeStateIssuer
010202000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131106001458 FL Practitioner - Neurology 6002041647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of South Florida College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians

Practice addresses (Care Compare)

2600 Bruce B Downs Blvd
Wesley Chapel, FL 33544-9207
Phone (813) 929-5436

2700 Healing Way
Wesley Chapel, FL 33543-5453

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Physician Group Inc Neurology CurrentSince Aug 1, 2024 Accepting new patients

Locations

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

3000 Medical Park Dr
Ste 510
Tampa, FL 33613
Phone (813) 615-7725

13067 N Telecom Pkwy
Temple Terrace, FL 33637
Phone (813) 333-9108

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1154556181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13067 N TELECOM PKWY",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336370926",
            "telephone_number": "813-773-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MEDICAL PARK DR STE 510",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336136602",
            "telephone_number": "813-615-7725",
            "fax_number": "813-615-7082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2352 Bruce B Downs Blvd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335449203",
            "country_code": "US",
            "telephone_number": "813-528-4843",
            "fax_number": "813-355-5052",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27416 Cashford Cir Ste 101",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335446938",
            "country_code": "US",
            "telephone_number": "813-528-4843",
            "fax_number": "813-355-5052",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28519 Tupper Rd",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335454301",
            "country_code": "US",
            "telephone_number": "813-505-2023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13067 N Telecom Pkwy",
            "address_purpose": "LOCATION",
            "city": "Temple Terrace",
            "state": "FL",
            "postal_code": "336370926",
            "country_code": "US",
            "telephone_number": "813-773-6658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANDLEY",
        "first_name": "KATHERINE",
        "middle_name": "DOLORES",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-20",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "OS11907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010202000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.