Individual provider Active NPI

Kathryn Joanne Hallsten, M.D.

  • Internal Medicine Physician
  • Portola Valley, CA
National Provider Identifier
1184750861
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G60511 Issued in CA
Practice address
130 Portola Rd
Suite C
Portola Valley, CA 94028-7825
Phone
(650) 385-1970
Fax
(650) 851-9701
NPI assigned
Feb 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G60511 CA Primary

Addresses

Primary practice location

130 Portola Rd
Suite C
Portola Valley, CA 94028-7825

Mailing address

1156 Ramona St
Palo Alto, CA 94301-2445
Phone (650) 325-9906

Other names 1

  • Dr. Kathryn Joanne Hallsten Ritchey Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130628000296 CA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 4789824533

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Interoperability endpoints

  • Direct secure messaging: kathryn.hallsten@1384432730116.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370304000000",
    "number": "1184750861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1156 RAMONA ST",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012445",
            "telephone_number": "650-325-9906",
            "fax_number": "650-325-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 PORTOLA RD",
            "address_2": "SUITE C",
            "city": "PORTOLA VALLEY",
            "state": "CA",
            "postal_code": "940287825",
            "telephone_number": "650-385-1970",
            "fax_number": "650-851-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLSTEN",
        "first_name": "KATHRYN",
        "middle_name": "JOANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2013-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G60511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "HALLSTEN RITCHEY",
            "middle_name": "JOANNE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Portola Valley, CA

Sources for this page

Verify at the official NPI Registry.