Individual provider Active NPI

Kathleeya Nan Stang-Veldhouse, M.D., M.P.H.

  • Ophthalmology Physician
  • Chapel Hill, NC
National Provider Identifier
1275701922
Registry record updated Sep 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
141488 Issued in NC
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

Updated by the provider on Sep 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
141488OtherNCNC LICENSE NUMBER

Other names 1

  • Kathleeya Nan Stang Former name

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

LicenseStateTypeSpecialty
141488NCMDOphthalmology 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.

Verify at the official NPI Registry.