Individual provider Active NPI

Kelly Ann Han, N.D.

  • Naturopath
  • Walnut Creek, CA
National Provider Identifier
1598090573
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
ND-527 Issued in CA
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

Updated by the provider on Aug 9, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
1691ORMDClinical Neuropsychologist
ND-527CAMDNaturopath

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.