Individual provider Active NPI

Kathy Gehlken, R.D.

  • Registered Dietitian
  • Oakland, CA
National Provider Identifier
1972841617
Registry record updated Jan 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
1320 Webster St
Oakland, CA 94612-3204
Phone
(510) 663-7979
NPI assigned
Jan 30, 2013
Last updated
Jan 30, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

1320 Webster St
Oakland, CA 94612-3204

Mailing address

474 10TH Ave
San Francisco, CA 94118
Phone (415) 312-0007

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care at Home, Inc. CurrentSince Jan 1, 2020 Accepting new patients
AIDS Project of the East Bay PastSince Aug 31, 2009 Accepting new patients

Locations

400 29th St
Ste 306
Oakland, CA 94609
Phone (510) 208-3224

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12053/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359504000000",
    "number": "1972841617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 10TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94118",
            "telephone_number": "415-312-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 WEBSTER ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123204",
            "telephone_number": "510-663-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEHLKEN",
        "first_name": "KATHY",
        "name_prefix": "Ms.",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-30",
        "last_updated": "2013-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; 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.