Kelly Ehrhardt, RN
Individual provider Active NPI Registered Nurse · Fortuna, CA
NPI 1932019072 · NPPES record last updated Sep 10, 2026
Key facts
- NPI
- 1932019072
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 798144 (CA)
- Practice address
- 223 Newell Dr
Fortuna, CA 95540-2212 - Phone
- (310) 634-0556
- NPI assigned
- Sep 10, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 798144 | CA | Yes |
Addresses
Primary practice location
223 Newell Dr
Fortuna, CA 95540-2212
Mailing address
PO Box 922
Fortuna, CA 95540-0922
Phone (310) 634-0553
Other providers in Fortuna, CA
- Mary Terese Dodd
- Tamara Smith Douglass
- Fannette Downie-Allman
- Clare Edwards
- Eel River Valley Surgical Group
- Kerisa Sue Elloway
- Courtney Embry
- Gabriel Enriquez
- Dana Louise Estevo
- Katherine Anne Talbert Estlin
All providers in Fortuna, CA · Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.