Individual provider Active NPI

Heather V. Krell, M.D., M.P.H.

  • Psychiatry Physician
  • Los Angeles, CA
National Provider Identifier
1386815496
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G85426 Issued in CA
Practice address
12100 Wilshire Blvd
Suite 800
Los Angeles, CA 90025-7120
Phone
(310) 428-8676
Fax
(310) 471-1740
NPI assigned
Mar 17, 2008
Last updated
Jan 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X G85426 CA
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X G85426 CA
Psychiatry Physician 2084P0800X G85426 CA Primary

Addresses

Primary practice location

12100 Wilshire Blvd
Suite 800
Los Angeles, CA 90025-7120

Mailing address

111 Lake Gloria Dr
West Palm Beach, FL 33411-2259
Phone (310) 487-8784

Other practice location 1

111 Lake Gloria Dr
West Palm Beach, FL 33411-2259
Phone (310) 487-8784

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G85426CAMDPain Medicine (Psychiatry & Neurology) Physician

NPI Registry JSON

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1386815496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 LAKE GLORIA DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334112259",
            "telephone_number": "310-487-8784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12100 WILSHIRE BLVD",
            "address_2": "SUITE 800",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257120",
            "telephone_number": "310-428-8676",
            "fax_number": "310-471-1740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Lake Gloria Dr",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334112259",
            "country_code": "US",
            "telephone_number": "310-487-8784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRELL",
        "first_name": "HEATHER",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-17",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "G85426",
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "CA",
            "license": "G85426",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G85426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.