Kemberly Delellis, ND

Primary specialty

NaturopathTaxonomy code 175F00000X

License

ND164 Issued in CA

Practice address

826 Lincoln Way
Auburn, CA 95603-4807

Phone

(530) 885-5908

NPI assigned

May 28, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Kemby Bacon Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357084800000",
    "number": "1043478829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6622",
            "city": "INCLINE VILLAGE",
            "state": "NV",
            "postal_code": "894506622",
            "telephone_number": "808-333-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 LINCOLN WAY",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956034807",
            "telephone_number": "530-885-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELELLIS",
        "first_name": "KEMBERLY",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-28",
        "last_updated": "2013-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CA",
            "license": "ND164",
            "primary": true
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT 60134126",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "HI",
            "license": "ND-226",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEMBY",
            "last_name": "BACON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Patrick Raymond Decommer, P.A.-C
• Jaime Mauricio Deguzman Jr., LAC
• Evelyn Del Bosque
• Roger Del Papa
• Richard A Delbalso, D.C.
• Alex Demy
• Dennis L. Levin, M.D. Inc
• Dennis W Harding Professional Chiropractic Corporation
• Kathleen Denton-Williamson, LCSW
• Denver G Franks

• Naturopath in Auburn, CA
• Providers in Auburn, CA by specialty
• Naturopath in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.