Active NPI
Kelley Katherine Hadley, MA PPS
- School Counselor
- Lodi, CA
National Provider Identifier
1417786716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- Practice address
- 1800 W Elm St
Lodi, CA 95242-2917 - Phone
- (209) 331-7424
- NPI assigned
- Jul 26, 2024
- Last updated
- Jul 26, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | CA | Primary |
Addresses
Primary practice location
1800 W Elm St
Lodi, CA 95242-2917
Mailing address
76 Rossi Dr
Galt, CA 95632-2368
Phone (209) 663-1765
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721952000000",
"number": "1417786716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76 ROSSI DR",
"city": "GALT",
"state": "CA",
"postal_code": "956322368",
"telephone_number": "209-663-1765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 W ELM ST",
"city": "LODI",
"state": "CA",
"postal_code": "952422917",
"telephone_number": "209-331-7424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HADLEY",
"first_name": "KELLEY",
"middle_name": "KATHERINE",
"credential": "MA PPS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-26",
"last_updated": "2024-07-26",
"certification_date": "2024-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lodi, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.