Kelsey Hana Banz

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

160 Wikiup Dr Ste 102
Santa Rosa, CA 95403-7776

Phone

(510) 317-1444

NPI assigned

Dec 12, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1992416747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 WIKIUP DR STE 102",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954037776",
            "telephone_number": "510-317-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 WIKIUP DR STE 102",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954037776",
            "telephone_number": "510-317-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANZ",
        "first_name": "KELSEY",
        "middle_name": "HANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Fraser Banchero, LCSW
• Amy Marie Bandiera
• Fatemeh Ahdi Bani-Taba, PSYD
• Andrea Bankson
• Sanjay Bansal, M.D.
• Colin Alexander Baptie, PSY.D.
• Leora Bar-Din, AMFT, APCC
• Gisselle Barajas Tinajero
• Cheyenne Barajas, ASW
• Griselda Barajas

• Community Health Worker in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.