Katherine Chang, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

RN2376646 Issued in MA

Practice address

3 Woodland Rd Ste 213
Stoneham, MA 02180-1711

Phone

(781) 662-7990

NPI assigned

Mar 30, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, CA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Ghods Inc

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1790344869
  Medicare reassignment NPD

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1871099861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WOODLAND RD STE 213",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021801711",
            "telephone_number": "781-662-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WOODLAND RD STE 213",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021801711",
            "telephone_number": "781-662-7990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "790 Turnpike St Ste 300",
            "address_purpose": "LOCATION",
            "city": "North Andover",
            "state": "MA",
            "postal_code": "018456129",
            "country_code": "US",
            "telephone_number": "978-687-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "KATHERINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-30",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "RN2376646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nina Castano, PA-C
• Cedar Counseling Inc
• Jennifer A. Centore, LICSW
• Central Dental Specialists, P.C.
• Jeanette K Chang, M.D.
• Chantal McCarron and Associates PC
• Myriam Charles Fortin, CNA
• Charles W. Malta, D.D.S., P.C.
• Jonathan Chase, D.D.S.
• Julie Checca

• Primary Care Nurse Practitioner in Stoneham, MA
• Providers in Stoneham, MA by specialty
• Primary Care Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.