Active NPI
Kathleen Condry Harley, N.D.
- Naturopath
- Novato, CA
National Provider Identifier
1962788034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- ND-481
- Practice address
- 250 Bel Marin Keys Blvd Ste D2
Novato, CA 94949-5709 - Phone
- (415) 721-7453
- Fax
- (415) 721-7454
- NPI assigned
- Nov 2, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ND-481 | CA | |
| Prevention Professional | 405300000X | ND-481 | CA | |
| Naturopath | 175F00000X | ND-481 | CA | Primary |
Addresses
Primary practice location
250 Bel Marin Keys Blvd Ste D2
Novato, CA 94949-5709
Mailing address
8669 Salmon Ave Unit 2705
Kings Beach, CA 96143-8108
Phone (415) 721-7453
Other practice location 1
205 Stateline Rd
Kings Beach, CA 96143
Phone (415) 721-7745
Other names 1
- Dr. Kathleen Condry Harley
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 |
|---|---|---|---|
| ND-481 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alexander Wulff | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Exclusive Provider Organization
- Capitola, CA
- NPI 1114301447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739318400000",
"number": "1962788034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8669 SALMON AVE UNIT 2705",
"city": "KINGS BEACH",
"state": "CA",
"postal_code": "961438108",
"telephone_number": "415-721-7453",
"fax_number": "415-721-7454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 BEL MARIN KEYS BLVD STE D2",
"city": "NOVATO",
"state": "CA",
"postal_code": "949495709",
"telephone_number": "415-721-7453",
"fax_number": "415-721-7454"
}
],
"practiceLocations": [
{
"address_1": "205 Stateline Rd",
"address_purpose": "LOCATION",
"city": "Kings Beach",
"state": "CA",
"postal_code": "96143",
"country_code": "US",
"telephone_number": "415-721-7745",
"fax_number": "415-721-7454",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARLEY",
"first_name": "KATHLEEN",
"middle_name": "CONDRY",
"name_prefix": "Dr.",
"credential": "N.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-02",
"last_updated": "2025-02-12",
"certification_date": "2025-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "ND-481",
"primary": false
},
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "CA",
"license": "ND-481",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CA",
"license": "ND-481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHLEEN",
"last_name": "HARLEY",
"middle_name": "CONDRY",
"prefix": "DR.",
"credential": "ND",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Novato, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.