Active NPI
Kelly Ann Han, N.D.
- Naturopath
- Walnut Creek, CA
National Provider Identifier
1598090573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- ND-527
- Practice address
- 1981 N Broadway
Suite #255
Walnut Creek, CA 94596-3852 - Phone
- (503) 407-0256
- NPI assigned
- Oct 9, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 1691 | OR | |
| Naturopath | 175F00000X | ND-527 | CA | Primary |
Addresses
Primary practice location
1981 N Broadway
Suite #255
Walnut Creek, CA 94596-3852
Mailing address
1981 N Broadway
Suite #255
Walnut Creek, CA 94596-3852
Phone (503) 407-0256
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 |
|---|---|---|---|
| 1691 | OR | MD | Clinical Neuropsychologist |
| ND-527 | CA | MD | Naturopath |
Interoperability endpoints
- kelly.han@3899008614404.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344470400000",
"number": "1598090573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1981 N BROADWAY",
"address_2": "SUITE #255",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945963852",
"telephone_number": "503-407-0256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1981 N BROADWAY",
"address_2": "SUITE #255",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945963852",
"telephone_number": "503-407-0256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAN",
"first_name": "KELLY",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "N.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-09",
"last_updated": "2012-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "OR",
"license": "1691",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CA",
"license": "ND-527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.