Katherine R Stanley

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

KATHERINE R STANLEY

Doing business as

Elegant Profile

Practice address

2830 Maplewood Ave Ste a
Winston Salem, NC 27103-4114

Phone

(336) 331-3480

Fax

(336) 793-1218

NPI assigned

Apr 3, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Katherine R Stanley, CFM

Title

Owner

Phone

(336) 331-3480

Specialties & licenses 1

Addresses

Other names 1

• Elegant Profile Doing business as

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

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542240000000",
    "number": "1982022273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 MAPLEWOOD AVE STE A",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271034114",
            "telephone_number": "336-331-3480",
            "fax_number": "336-793-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 MAPLEWOOD AVE STE A",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271034114",
            "telephone_number": "336-331-3480",
            "fax_number": "336-793-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERINE R STANLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-03",
        "last_updated": "2018-11-15",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-331-3480",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CFM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elegant Profile",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elegant Profile",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Paris Kastanis, PHARMD
• Karen Claudia Kastler, ACNP-BC
• Taylor Jordan Kastor, PA-C
• Marie Joanne Kaswandik, MA, LPC
• Kate Washburn Counseling, PLLC
• Katherine T. Kelly, PH.D., LLC
• Charles Peter Katopes III, M.D.
• Adam Judd Katz, MD
• Daniel Katz
• Jane Alexis Katz

• Durable Medical Equipment & Medical Supplies in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; 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.