Active NPI
Kelli Hare
- Health Educator
- Lockport, NY
National Provider Identifier
1154966471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- 7157
- Practice address
- 7157 Ellicott Rd
Lockport, NY 14094-9482 - Phone
- (716) 720-0240
- NPI assigned
- Nov 11, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | 7157 | NY | Primary |
Addresses
Primary practice location
7157 Ellicott Rd
Lockport, NY 14094-9482
Mailing address
7157 Ellicott Rd
Lockport, NY 14094-9482
Phone (716) 720-0240
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7157 | Medicaid | NY |
Electronic endpoints 11
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | khare@royhart.org | Direct | |
| CONNECT URL | Lockport | Direct | |
| CONNECT URL | Lockport | Direct | |
| CONNECT URL | khare@royhart.org | Direct | |
| CONNECT URL | Lockport | Direct | |
| CONNECT URL | khare@royhart.org | Direct | |
| CONNECT URL | Lockport | Direct | |
| CONNECT URL | khare@royhart.org | Direct | |
| CONNECT URL | Lockport | Direct | |
| CONNECT URL | khare@royhart.org | Direct | |
| CONNECT URL | 7157 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7157 | NY | MD | Health Educator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573430400000",
"number": "1154966471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7157 ELLICOTT RD",
"city": "LOCKPORT",
"state": "NY",
"postal_code": "140949482",
"telephone_number": "716-720-0240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7157 ELLICOTT RD",
"city": "LOCKPORT",
"state": "NY",
"postal_code": "140949482",
"telephone_number": "716-720-0240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARE",
"first_name": "KELLI",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-11",
"last_updated": "2019-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "NY",
"license": "7157",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7157",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "khare@royhart.org",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "7157 Ellicott Rd",
"city": "Lockport",
"state": "NY",
"country_code": "US",
"postal_code": "140949482",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Lockport",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "7157 Ellicott Rd",
"city": "Lockport",
"state": "NY",
"country_code": "US",
"postal_code": "140949482",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Lockport",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "7157 Ellicott Rd",
"city": "Lockport",
"state": "NY",
"country_code": "US",
"postal_code": "140949482",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "khare@royhart.org",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "7157 Ellicott Rd",
"city": "Lockport",
"state": "NY",
"country_code": "US",
"postal_code": "140949482",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Lockport",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "7157 Ellicott Rd",
"city": "Lockport",
"state": "NY",
"country_code": "US",
"postal_code": "140949482",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "khare@royhart.org",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "7157 Ellicott Rd",
"city": "Lockport",
"state": "NY",
"country_code": "US",
"postal_code": "140949482",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Lockport",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "7157 Ellicott Rd",
"city": "Lockport",
"state": "NY",
"country_code": "US",
"postal_code": "140949482",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "khare@royhart.org",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "7157 Ellicott Rd",
"city": "Lockport",
"state": "NY",
"country_code": "US",
"postal_code": "140949482",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Lockport",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "7157 Ellicott Rd",
"city": "Lockport",
"state": "NY",
"country_code": "US",
"postal_code": "140949482",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "khare@royhart.org",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "7157 Ellicott Rd",
"city": "Lockport",
"state": "NY",
"country_code": "US",
"postal_code": "140949482",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "7157",
"affiliation": "N",
"address_1": "7157 Ellicott Rd",
"city": "Lockport",
"state": "NY",
"country_code": "US",
"postal_code": "140949482",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lockport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.