Individual provider Active NPI

Katherine L Chang, PA-C

  • Physician Assistant
  • Corpus Christi, TX
National Provider Identifier
1912225384
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA06649 Issued in TX
Practice address
6021 Parkway Dr
Corpus Christi, TX 78414-2456
Phone
(361) 985-0323
Fax
(361) 985-0343
NPI assigned
May 11, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA06649 TX Primary

Addresses

Primary practice location

6021 Parkway Dr
Corpus Christi, TX 78414-2456

Mailing address

PO Box 603725
Charlotte, NC 28260-3725
Phone (828) 575-2625

Other identifiers 2

IdentifierTypeStateIssuer
844170OtherTXMEDICARE
1912225384MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100708000854 TX Practitioner - Physician Assistant 6103957188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy Partners of Texas IncGroup PAC ID 0244486157, 22 clinicians

Practice addresses (Care Compare)

3140 Legacy Dr
Suite 120
Frisco, TX 75034-7919
Phone (972) 272-4463

6021 Pkwy Dr
Corpus Christi, TX 78414-2456
Phone (361) 985-0323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA06649TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Partners of Texas, Inc. CurrentSince May 10, 2019 Accepting new patients
Allergy Partners of Texas, Inc. CurrentSince May 10, 2019 Accepting new patients

Locations

7101 S Staples St
Ste 101
Corpus Christi, TX 78413
Phone (361) 985-0323

6021 Parkway Dr
Corpus Christi, TX 78414
Phone (361) 985-0323

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1912225384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603725",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603725",
            "telephone_number": "828-575-2625",
            "fax_number": "828-350-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6021 PARKWAY DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784142456",
            "telephone_number": "361-985-0323",
            "fax_number": "361-985-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "KATHERINE",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-11",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "844170",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912225384",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.