Kelly Haase, ND

Primary specialty

NaturopathTaxonomy code 175F00000X

License

NMD-0048 Issued in ID

Practice address

325 W Palouse River Dr
Moscow, ID 83843-8956

Phone

(208) 596-1105

NPI assigned

Aug 22, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1407574890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 W PALOUSE RIVER DR",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838438956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 W PALOUSE RIVER DR",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838438956",
            "telephone_number": "208-596-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAASE",
        "first_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "22-1715",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "ID",
            "license": "NMD-0048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gritman Medical Center Inc.
• Gritman Medical Center, Inc.
• Keri Ann Groseclose, LMSW
• Madison Grzeszkowiak, D.C.
• Griffin Guess, D.M.D.
• Alexa Haberlack, ATC
• Shelbie Jean Hackett, ATS
• Kathryn Christine Hajos, MS-MHC
• Sarah Elizabeth Hall, DO
• Larry W Hammond, D.C.

• Naturopath in Moscow, ID
• Providers in Moscow, ID by specialty
• Naturopath in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.