Active NPI
Kathleeya Nan Stang-Veldhouse, M.D., M.P.H.
- Ophthalmology Physician
- Chapel Hill, NC
National Provider Identifier
1275701922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 141488
- Practice address
- 101 Manning Dr
Campus Box 7600
Chapel Hill, NC 27514-4220 - Phone
- (919) 966-5509
- NPI assigned
- Feb 15, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 141488 | NC | Primary |
Addresses
Primary practice location
101 Manning Dr
Campus Box 7600
Chapel Hill, NC 27514-4220
Mailing address
2616 Erwin Rd
Apartment #1643
Durham, NC 27705-3843
Phone (219) 781-1752
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141488 | Other | NC | NC LICENSE NUMBER |
Other names 1
- Kathleeya Nan Stang
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 141488 | NC | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221436800000",
"number": "1275701922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2616 ERWIN RD",
"address_2": "APARTMENT #1643",
"city": "DURHAM",
"state": "NC",
"postal_code": "277053843",
"telephone_number": "219-781-1752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 MANNING DR",
"address_2": "CAMPUS BOX 7600",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275144220",
"telephone_number": "919-966-5509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANG-VELDHOUSE",
"first_name": "KATHLEEYA",
"middle_name": "NAN",
"name_prefix": "Dr.",
"credential": "M.D., M.P.H.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-15",
"last_updated": "2008-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NC",
"license": "141488",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC LICENSE NUMBER",
"identifier": "141488",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHLEEYA",
"last_name": "STANG",
"middle_name": "NAN",
"credential": "M.D., M.P.H.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.