Individual provider Active NPI

Angela Paulette Sanders-Cliette, M.D.

  • Anatomic Pathology Physician
  • Burlington, NC
National Provider Identifier
1306964622
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
94-00141 Issued in NC
Practice address
2039 Willow Spring LN
C
Burlington, NC 27215-8854
Phone
(336) 222-7566
Fax
(336) 436-6125
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X 94-00141 NC Primary

Addresses

Primary practice location

2039 Willow Spring LN
C
Burlington, NC 27215-8854

Mailing address

309 N Riverdale Dr
Durham, NC 27712-2071
Phone (919) 383-0175

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
94-00141NCMDAnatomic Pathology Physician

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306964622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 N RIVERDALE DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277122071",
            "telephone_number": "919-383-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2039 WILLOW SPRING LN",
            "address_2": "C",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158854",
            "telephone_number": "336-222-7566",
            "fax_number": "336-436-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS-CLIETTE",
        "first_name": "ANGELA",
        "middle_name": "PAULETTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "NC",
            "license": "94-00141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.