Nikiiya Kelly

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

1550 Treat Ave
San Francisco, CA 94110-5234

Phone

(415) 641-8000

Fax

(415) 641-8002

NPI assigned

Jan 29, 2009

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Baker Place, Inc

  • Addiction (Substance Use Disorder) Counselor
  • San Francisco, CA
  • NPI 1891107116
  NPD (past)
• Baker Places, Inc.

  • Community/Behavioral Health Agency
  • San Francisco, CA
  • NPI 1720125925
  NPD (past)
• Oakes Children'S Center, Inc

  • Community/Behavioral Health Agency
  • San Francisco, CA
  • NPI 1932277308
  NPD (past)

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

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555459200000",
    "number": "1457599417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 BLYTHEDALE AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941343033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 TREAT AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941105234",
            "telephone_number": "415-641-8000",
            "fax_number": "415-641-8002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "673 San Jose Ave",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941104914",
            "country_code": "US",
            "telephone_number": "415-282-3789",
            "fax_number": "415-695-0829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "NIKIIYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-29",
        "last_updated": "2019-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madelyn Vone'E Kelly
• Mary Jill Kelly, SSPS
• Molly E. Kelly, MD
• Morgan Elizabeth Kelly, MD, MPH
• Nicholas Kelly
• Sandra Kelly, LPCC
• Shannon Kelly, M.D
• Vanessa G Kelly, PSYD
• Martine Kelsch
• Brea Kelsey

• Community Health Worker in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; 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.