Active NPI
Kathleen Louise Hartje, LAC
- Acupuncturist
- Redway, CA
National Provider Identifier
1447324900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC4273
- Practice address
- 101 Westcoast Road
Redway, CA 95560 - Phone
- (707) 923-2783
- Fax
- (707) 923-2543
- NPI assigned
- Nov 17, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC4273 | CA | Primary |
Addresses
Primary practice location
101 Westcoast Road
Redway, CA 95560
Mailing address
101 West Coast Road
PO Box 2435
Redway, CA 95560
Phone (707) 923-2783
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AC4273 | Other | CA | STATE FRANCHISE TAX DEPT |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC4273 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447324900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 WEST COAST ROAD",
"address_2": "PO BOX 2435",
"city": "REDWAY",
"state": "CA",
"postal_code": "95560",
"telephone_number": "707-923-2783",
"fax_number": "707-923-2543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 WESTCOAST ROAD",
"city": "REDWAY",
"state": "CA",
"postal_code": "95560",
"telephone_number": "707-923-2783",
"fax_number": "707-923-2543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTJE",
"first_name": "KATHLEEN",
"middle_name": "LOUISE",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC4273",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE FRANCHISE TAX DEPT",
"identifier": "AC4273",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Redway, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.