Karen Van de Velde, MD, PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

94-413 Issued in NM

Legal business name

KAREN VAN DE VELDE, MD, PC

Practice address

2019 Galisteo St
Suite D2
Santa Fe, NM 87505-2143

Phone

(505) 986-5025

Fax

(505) 986-3822

NPI assigned

Sep 2, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Karen M Van de Velde, M.D.

Title

President

Phone

(505) 986-5025

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1378080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379462400000",
    "number": "1639503105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 GALISTEO ST",
            "address_2": "SUITE D2",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052143",
            "telephone_number": "505-986-5025",
            "fax_number": "505-986-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 GALISTEO ST",
            "address_2": "SUITE D2",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052143",
            "telephone_number": "505-986-5025",
            "fax_number": "505-986-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN VAN DE VELDE, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-02",
        "last_updated": "2013-09-18",
        "status": "A",
        "authorized_official_last_name": "VAN DE VELDE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-986-5025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NM",
            "license": "94-413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kanter Clinic Inc
• Rebekah Kanter, DOM
• Randi Patricia Kaplan-Gesten, MSW
• Judith F Kaplan, LISW
• Michael Allan Kaplan, PH.D.
• Deirdre Karger, LMT
• Masouma M Karimian
• Eden Kark, DOM
• Magdalena Karlick, ATR-BC, LPCC
• Timothy Karo, LAADAC

• Dermatology Physician in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Dermatology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; 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.