Active NPI
Kari Donley, LVN
- Health Educator
- Clearlake, CA
National Provider Identifier
1861737504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- VN 99597
- Practice address
- 15230 Lakeshore Dr
Clearlake, CA 95422-8107 - Phone
- (707) 995-4500
- Fax
- (707) 994-2401
- NPI assigned
- Dec 6, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | VN 99597 | CA | Primary |
Addresses
Primary practice location
15230 Lakeshore Dr
Clearlake, CA 95422-8107
Mailing address
PO Box 915
Cobb, CA 95426-0915
Phone (707) 928-8032
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VN 99597 | Other | CA | LVN |
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 |
|---|---|---|---|
| VN 99597 | CA | MD | Health Educator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354752000000",
"number": "1861737504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 915",
"city": "COBB",
"state": "CA",
"postal_code": "954260915",
"telephone_number": "707-928-8032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15230 LAKESHORE DR",
"city": "CLEARLAKE",
"state": "CA",
"postal_code": "954228107",
"telephone_number": "707-995-4500",
"fax_number": "707-994-2401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONLEY",
"first_name": "KARI",
"credential": "LVN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-06",
"last_updated": "2012-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "CA",
"license": "VN 99597",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LVN",
"identifier": "VN 99597",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clearlake, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.