Kalen Wehagen, NDTR

Primary specialty

Registered Dietetic TechnicianTaxonomy code 136A00000X

Practice address

406 Chinn St
Santa Rosa, CA 95404-4339

Phone

(707) 687-9187

NPI assigned

Oct 11, 2024

Last updated

Oct 11, 2024By the provider in NPPES

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": "1728604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1134949530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 CALIFORNIA AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054665",
            "telephone_number": "559-776-9297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 CHINN ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044339",
            "telephone_number": "707-687-9187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEHAGEN",
        "first_name": "KALEN",
        "credential": "NDTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-11",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "136A00000X",
            "taxonomy_group": "",
            "desc": "Dietetic Technician, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas G Weber, R.PH.
• Webster Surgery Center, LP
• Vicki L Wedegaertner, MFT
• Christian Michael Weeber, PA-C
• Jeannette Weeks, RDN
• Ryan Jonathan Wei, MD
• Sabrina Y Wei, PHARM. D.
• Daniel J Weil, LMFT
• Joshua Baker Weil, MD
• Karena Weil

• Registered Dietetic Technician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Registered Dietetic Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.