Kelly Her, A.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

11990 Issued in CA

Practice address

970 Petit Ave Ste D
Ventura, CA 93004-2215

Phone

(805) 302-0266

NPI assigned

Mar 22, 2012

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332374400000",
    "number": "1114293255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 BLUEBONNET AVE",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930043566",
            "telephone_number": "805-302-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 PETIT AVE STE D",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930042215",
            "telephone_number": "805-302-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HER",
        "first_name": "KELLY",
        "name_prefix": "Mrs.",
        "credential": "A.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-22",
        "last_updated": "2012-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "11990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Wesley Henry, MFT
• Mary Hensley
• Tammie Diane Hensley, FNP
• Melissa Henson
• Robert Henson
• Sandra Herbert
• Paola Heredia
• James M Herman, MD
• James Edward Hermann, M.D.
• Madeline Joy Hermann

• Family Medicine Physician in Ventura, CA
• Providers in Ventura, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; 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.