Active NPI
Kannact Health LLC
- Health & Wellness Coach
- Corvallis, OR
National Provider Identifier
1134583149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- Legal business name
- KANNACT HEALTH LLC
- Practice address
- 2121 NE Jack London St Ste 200
Corvallis, OR 97330-6947 - Phone
- (855) 722-5513
- Fax
- (541) 230-1189
- NPI assigned
- Apr 6, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Krishna Rao
- Title
- Ceo
- Phone
- (971) 361-6091
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | Primary | ||
| Health Educator | 174H00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
2121 NE Jack London St Ste 200
Corvallis, OR 97330-6947
Mailing address
2211 NW Professional Dr
Corvallis, OR 97330-3891
Phone (855) 722-5513
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Health Educator
- Albany, OR
- NPI 1780390070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459900800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683590400000",
"number": "1134583149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2211 NW PROFESSIONAL DR",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973303891",
"telephone_number": "855-722-5513",
"fax_number": "541-230-1189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 NE JACK LONDON ST STE 200",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973306947",
"telephone_number": "855-722-5513",
"fax_number": "541-230-1189"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KANNACT HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-06",
"last_updated": "2023-05-09",
"certification_date": "2023-05-09",
"status": "A",
"authorized_official_last_name": "RAO",
"authorized_official_first_name": "KRISHNA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "971-361-6091"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": true
},
{
"code": "174H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.