Individual provider Active NPI

Karen Kohley, N.C.

  • Nutritionist
  • Santa Rosa, CA
National Provider Identifier
1417316035
Registry record updated Feb 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Practice address
1824 Empire Industrial CT Ste H
Santa Rosa, CA 95403-7442
Phone
(415) 259-8981
NPI assigned
Feb 11, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X Primary

Addresses

Primary practice location

1824 Empire Industrial CT Ste H
Santa Rosa, CA 95403-7442

Mailing address

708 Gravenstein Hwy N # 307
Sebastopol, CA 95472-2808
Phone (415) 259-8981

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

NPI Registry JSON

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455148800000",
    "number": "1417316035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 GRAVENSTEIN HWY N # 307",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954722808",
            "telephone_number": "415-259-8981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 EMPIRE INDUSTRIAL CT STE H",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954037442",
            "telephone_number": "415-259-8981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLEY",
        "first_name": "KAREN",
        "credential": "N.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-11",
        "last_updated": "2016-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; 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.