Individual provider Active NPI

Lena Jooyeon Kang, AGNP-C

  • Nurse Practitioner
  • Durham, NC
National Provider Identifier
1245013150
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5018633 Issued in NC
Practice address
1821 Hillandale Rd Ste 24B
Durham, NC 27705-2671
Phone
(919) 383-5437
NPI assigned
Aug 15, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X AG07230125 NC
Nurse Practitioner 363L00000X 5018633 NC Primary

Addresses

Primary practice location

1821 Hillandale Rd Ste 24B
Durham, NC 27705-2671

Mailing address

1821 Hillandale Rd Ste 24B
Durham, NC 27705-2671
Phone (919) 383-5437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240129004210 NC Practitioner - Nurse Practitioner 4880047547 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1821 Hillandale Rd
Suite 24B
Durham, NC 27705-2671
Phone (919) 383-5437

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5018633NCMDNurse Practitioner
AG07230125NCMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Affiliated Physicians, Inc. Family Medicine CurrentSince Dec 11, 2023 Accepting new patients
Duke University Health System, Inc. Nurse Practitioner CurrentSince Jan 2, 2025 Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine CurrentSince Dec 11, 2023 Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine Current Accepting new patients
Duke University Health System, Inc. CurrentSince Jan 2, 2025 Accepting new patients

Locations

1821 Hillandale Rd
Ste 25B
Durham, NC 27705
Phone (919) 613-9105

1821 Hillandale Rd
Ste 24B
Durham, NC 27705
Phone (919) 383-5437

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

1821 Hillandale Rd
Ste 25A
Durham, NC 27705
Phone (919) 620-7300

7200 Creedmoor Rd
Ste 208
Raleigh, NC 27613
Phone (919) 327-1650

Interoperability endpoints

  • Direct secure messaging: lkang268462@direct.medicine.duke.edu

Organizations & group practices 5

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 9

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": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1245013150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 HILLANDALE RD STE 24B",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052671",
            "telephone_number": "919-383-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 HILLANDALE RD STE 24B",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052671",
            "telephone_number": "919-383-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "LENA",
        "middle_name": "JOOYEON",
        "credential": "AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "AG07230125",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5018633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.