Kelly Camryn Henkler, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101268293 Issued in VA

Practice address

870 Market St Ste 415
San Francisco, CA 94102-3010

Phone

(415) 926-5818

NPI assigned

May 19, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

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.

• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480

  Family Medicine

  Medicare reassignment NPD
• Privia Medical Group, LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Rockville, MD
  • NPI 1811715436
  NPD
• Wholehealth Medical

  • Family Medicine Physician
  • Charlottesville, VA
  • NPI 1598225955
  NPD (past)

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1467809335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 S LOS ANGELES ST APT 401",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900123780",
            "telephone_number": "215-527-2886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 MARKET ST STE 415",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941023010",
            "telephone_number": "415-926-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENKLER",
        "first_name": "KELLY",
        "middle_name": "CAMRYN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101268293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Hendrix, BCBA
• Winston Joseph Hendzel
• Yao Y. Heng, MD
• Noreen Roth Henig, MD
• Mary Kate Henke, RN
• Christopher Henley
• Ella June Henley
• Lydia Henneberg, LVN
• Araina Lynn Hennen, LCSW
• Celina M Hennessey, LMFT

• Family Medicine Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.