KATELYN SUSAN CHAN
NPI 1396494605
Student in an Organized Health Care Education/Training Program in Stanford, CA
About Katelyn Susan Chan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATELYN SUSAN CHAN (NPI 1396494605) is an individual student in an organized health care education/training program in Stanford, California and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Katelyn Susan Chan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PALO ALTO, CA 94305
STANFORD, CA 94305
STANFORD, CA 94305
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Katelyn Chan's NPI number?
The NPI number for Katelyn Chan is 1396494605. It was assigned to this individual provider in the NPPES registry on March 22, 2022. The provider is also known as Katy Susan Chan.
Where is Katelyn Chan located?
Katelyn Chan practices at 291 Campus Dr, Stanford, CA 94305. The listed phone number is (650) 723-2300.
What is Katelyn Chan's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Katelyn Chan enrolled in Medicare?
Yes. Katelyn Chan is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Katelyn Chan was last updated on March 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Katelyn Susan Chan · NPI 1396494605
Student in an Organized Health Care Education/Training Program provider in Stanford, California. Individual provider, active in the CMS NPPES registry since March 22, 2022.
## Identity
- **NPI:** 1396494605 (Entity type: Individual)
- **Enumerated:** March 22, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 291 CAMPUS DR, Stanford, CA 94305-5101
- **Phone:** (650) 723-2300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 22, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1396494605) · Data from the CMS NPPES public registry.