Shelly Annette Krahn, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC3512 Issued in CA

Practice address

9850 Genesee Ave
Suite 860
La Jolla, CA 92037-1224

Phone

(760) 419-6863

NPI assigned

Feb 5, 2009

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

Other names 1

• Shelly Annette Weber Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355097600000",
    "number": "1407095029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6540 REFLECTION DR",
            "address_2": "#1224",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921245119",
            "telephone_number": "760-419-6863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE",
            "address_2": "SUITE 860",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371224",
            "telephone_number": "760-419-6863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAHN",
        "first_name": "SHELLY",
        "middle_name": "ANNETTE",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-05",
        "last_updated": "2012-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC3512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLY",
            "last_name": "WEBER",
            "middle_name": "ANNETTE",
            "credential": "L.AC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristina Shahla Kouri, NP
• Kateryna Kovalenko, PHARMD
• Natalia Kovaleski, PA-C
• Thomas Kozak, M.D.
• Erin Marie Kozlowski, FNP-C
• Alexander A Krakovsky, M.D.
• Saralee Erwin Kramer, MFT
• Stephen M Krant, M.D.
• Jamey Krauss, PHARMD
• Mi CHI Song Krcmarik, PHARM.D.

• Acupuncturist in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; 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.