Organization Active NPI

Kannact Health LLC

  • Health & Wellness Coach
  • Corvallis, OR
National Provider Identifier
1134583149
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
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

Updated by the provider on May 9, 2023

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)CodeLicenseStatePrimary
Health & Wellness CoachGroup: 193200000X MULTI-SPECIALTY GROUP 171400000X Primary
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.