KELLY HAN (NPI# 1225660053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225660053 |
| Entity Type | Individual |
| Full Name | KELLY HAN |
| Credential | SLPA |
| Practice Address |
1360 S Anaheim Blvd Anaheim CA 92805-6205 |
| Practice Telephone | 7147761231 |
| Mailing Telephone | 7147761231 |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-02-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
5776 | CA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023309887 | Kelly B Han | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27705-4699 | 2011-04-28 |
| 1598090573 | Kelly Ann Han | Naturopath | 1981 N Broadway, Suite #255, Walnut Creek, CA 94596-3852 | 2009-10-09 |
| Street Address |
1360 S ANAHEIM BLVD |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92805-6205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386172690 | Jennifer Clear | Counselor | 1360 S Anaheim Blvd, Anaheim, CA 92805-6205 | 2017-05-31 |
| 1477182244 | Kim Thome | Counselor | 1360 S Anaheim Blvd, Anaheim, CA 92805-6205 | 2020-04-03 |
| 1881249407 | Caroline Do | Specialist/Technologist | 1360 S Anaheim Blvd, Anaheim, CA 92805-6205 | 2019-08-09 |
| 1376008458 | Dolores Sarahi Rodriguez-arreola | Counselor | 1360 S Anaheim Blvd, Anaheim, CA 92805-6205 | 2019-02-04 |
| 1104391275 | Rajiv Joshi | Counselor | 1360 S Anaheim Blvd, Anaheim, CA 92805-6205 | 2018-10-04 |
| 1255819066 | Elijah Manzo | Counselor | 1360 S Anaheim Blvd, Anaheim, CA 92805-6205 | 2018-08-02 |
| 1588140669 | Lauren Michele Sherwin | Counselor | 1360 S Anaheim Blvd, Suite 101, Anaheim, CA 92805 | 2018-07-12 |
| 1184120859 | Anna Drozdova | Case Manager/Care Coordinator | 1360 S Anaheim Blvd, Anaheim, CA 92805-6205 | 2018-04-02 |
| 1417470212 | Samantha Monet Cabrera | Counselor | 1360 S Anaheim Blvd, Anaheim, CA 92805-6205 | 2017-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841840097 | Jesus Jaime Rodriguez | Technician | 805 N. Pauline St., Anaheim, CA 92805 | 2019-09-18 |
| 1225680994 | Michael Cross | Counselor | 710 N. Anaheim Blvd Anaheim, Ca 92805, 710 N.anaheim Blvd, Anaheim, CA 92805 | 2019-07-12 |
| 1588123459 | Dania Jesri | Behavior Technician | 300 N Avelia Way, Anaheim, CA 92805 | 2019-03-19 |
| 1346708872 | Tiffany Chauvet | Behavior Technician | 1300 East Orangewood Ave, Anaheim, CA 92805 | 2019-03-04 |
| 1972087740 | Jehanzeb Shahab Khairi | Behavior Technician | 3101 E Orangewood Ave, Anaheim, CA 92805 | 2018-09-18 |
| 1033693825 | Baotran Minh Le | Behavior Technician | 3101 E. Orangewood Ave., Anaheim, CA 92805 | 2018-09-18 |
| 1841778354 | Jonathan Besuamlak | Behavior Technician | 1301 E. Orangewood Ave., Anaheim, CA 92805 | 2018-08-06 |
| 1700364973 | Erica Vanderlinden | Behavioral Analyst | 1301 East Orangewood Avenue, Anaheim, CA 92805 | 2018-07-31 |
| 1578054391 | Us Care Transportation LLC | Non-emergency Medical Transport (VAN) | 248 S Seneca Cir, Anaheim, CA 92805 | 2018-05-29 |
| 1578081691 | Christopher Mills | Counselor | 1025 S. Anaheim Blvd, Anaheim, CA 92805 | 2017-09-08 |
| Find all providers in zip 92805 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447763065 | Zeferino Andrew Tirado | Specialist/Technologist | 400 S Sunkist St Apt 93, Anaheim, CA 92806-4244 | 2017-11-06 |
| 1730532847 | Layla Gonzalez | Specialist/Technologist | 1815 E Bassett Way, Anaheim, CA 92805-5711 | 2016-07-13 |
| 1972101459 | Allison Mayorga | Specialist/Technologist | 1360 S Anaheim Blvd Ste 150, Anaheim, CA 92805-6205 | 2020-10-15 |
| 1003449570 | Eliana Aguayo Morales | Specialist/Technologist | 1360 S Anaheim Blvd Ste 150, Anaheim, CA 92805-6205 | 2020-02-12 |
| 1508414160 | Annmarie Gomez | Specialist/Technologist | 1360 S Anaheim Blvd Ste 150, Anaheim, CA 92805-6205 | 2019-08-27 |
| 1881249407 | Caroline Do | Specialist/Technologist | 1360 S Anaheim Blvd, Anaheim, CA 92805-6205 | 2019-08-09 |
| 1346710555 | Joann Hyungjoo Lee | Specialist/Technologist | 217 W Cerritos Ave, Anaheim, CA 92805-6549 | 2018-11-30 |
| 1033686811 | Lauren Ybarra | Specialist/Technologist | 217 W Cerritos Ave, Anaheim, CA 92805-6549 | 2018-10-30 |
| 1144709650 | Ashley Fermin | Specialist/Technologist | 140 S Chaparral Ct Ste 110, Anaheim, CA 92808-2239 | 2018-08-07 |
| 1053812628 | Razan Malkawi | Specialist/Technologist | 140 S Chaparral Ct, Anaheim, CA 92808-2239 | 2018-02-27 |
| Find all providers in ANAHEIM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.