DR. KELLY AUSTIN (NPI# 1972791341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972791341 |
| Entity Type | Individual |
| Full Name | DR. KELLY AUSTIN |
| Credential | N.D. |
| Practice Address |
11828 Bernardo Plaza Ct Ste 100 San Diego CA 92128-2402 |
| Practice Telephone | 8587570726 |
| Practice Fax Number | 8583482005 |
| Mailing Telephone | 8586757072 |
| Mailing Fax Number | 8583482005 |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2020-03-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175F00000X | Naturopath | 234 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063064566 | Kelly P Austin | Case Manager/Care Coordinator | 1903 S Lions Ave, Broken Arrow, OK 74012-6932 | 2019-07-15 |
| 1841695707 | Kelly Austin | Pharmacist | 3185 Chesswood Ln, Winterville, NC 28590-7992 | 2014-11-04 |
| 1659492726 | Kelly Ann Austin | Occupational Therapist | 1668 Bishopwood Blvd E, Harleysville, PA 19438-3047 | 2007-04-03 |
| 1912999848 | Kelly Miller Austin | Surgery | One Children's Hospital Drive, 4401 Penn Avenue, Children's Hospital of Pittsburgh of Upmc, Pittsburgh, PA 15224 | 2005-08-17 |
| 1861002529 | Kelly Austin | Speech-Language Pathologist | 1900 Centracare Cir Ste 1000, Saint Cloud, MN 56303-5000 | 2020-08-06 |
| 1114128154 | Kelly D Austin | Case Manager/Care Coordinator | 6601 W 12th St, Little Rock, AR 72204-1513 | 2007-05-29 |
| 1851411433 | Kelly A Austin | Chiropractor | 1076 W Chandler Blvd, Ste 103, Chandler, AZ 85224-9662 | 2007-03-29 |
| Street Address |
11828 BERNARDO PLAZA CT STE 100 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92128-2402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831434240 | Stephanie Greunke | Dietitian, Registered | 11828 Bernardo Plaza Ct Ste 100, San Diego, CA 92128-2402 | 2012-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585371 | Alicia Ford | Behavior Technician | 1170 Bernardo Plaza Court, Suite 350, San Diego, CA 92128 | 2020-07-08 |
| 1164087573 | Madeleine White | Dietitian, Registered | 16685 W Bernardo Dr, Suite 121, San Diego, CA 92128 | 2019-05-01 |
| 1053807677 | Joele Ghosn | Speech-Language Pathologist | 11838 Bernardo Plaza Ct #110, San Diego, CA 92128 | 2018-07-06 |
| 1376034348 | Eddie Reginald Burston II | In Home Supportive Care | 12727 Camino Emparrado, San Diego, CA 92128 | 2018-05-24 |
| 1336659218 | Ryan Fong | Physician Assistant | 15004 Innovation Drive (s97), San Diego, CA 92128 | 2017-10-05 |
| 1508316191 | Araceli Flores | Behavioral Analyst | 15737 Innovation Dr, Suite 200, San Diego, CA 92128 | 2016-10-07 |
| 1003283961 | Katherine Dishner | Hearing Instrument Specialist | 16766 Bernardo Center Dr Ste 206, San Diego, CA 92128 | 2015-08-27 |
| 1205212586 | Mobilia Dmd Inc. | Point of Service | 12405 Rancho Bernardo Rd., San Diego, CA 92128 | 2015-08-10 |
| 1346623634 | Angela Christine Storck-petersen | Dietitian, Registered | 11768 Caminito Corriente, San Diego, CA 92128 | 2015-07-04 |
| 1134526874 | Breeana Rose Lancaster | Speech-Language Pathologist | 11838 Bernardo Plaza Ct. Suite 110, Kids Therapy Associates, San Diego, CA 92128 | 2014-11-24 |
| Find all providers in zip 92128 | ||||
| Taxonomy Code | 175F00000X |
| Grouping | Other Service Providers |
| Classification | Naturopath |
| Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life. |
| Notes: Source: The Federal Dictionary of Occupational Titles, U.S. Department of Labor, Washington, D.C., section #079, 101-014 [7/1/2007: definition changed, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427655463 | Paria Vaziri | Naturopath | 1559 1/2 Reed Ave, San Diego, CA 92109-5361 | 2020-10-02 |
| 1356948376 | Barbara Ivos | Naturopath | 6202 Friars Rd Unit 304, San Diego, CA 92108-1008 | 2020-10-02 |
| 1649877846 | Brian James Trainor | Naturopath | 3636 5th Ave Ste 300, San Diego, CA 92103-4230 | 2020-10-01 |
| 1306452685 | Michelle Jacobs | Naturopath | 4417 30th St Ste 114, San Diego, CA 92116-4284 | 2020-09-22 |
| 1033730692 | Joleen Trear | Naturopath | 6498 Weathers Pl Ste 100, San Diego, CA 92121-3915 | 2020-05-05 |
| 1336769975 | Shonna Steppe | Naturopath | 11034 Cloverhurst Way, San Diego, CA 92130-2887 | 2020-04-23 |
| 1720616337 | Tyler Lee David Farrish | Naturopath | 4859 Long Branch Ave, San Diego, CA 92107-2113 | 2020-03-30 |
| 1295370187 | Lain Lye | Naturopath | 10292 Wateridge Cir Unit 255, San Diego, CA 92121-5730 | 2019-11-14 |
| 1831732106 | Ashley De Luna | Naturopath | 4545 1/2 Niagara Ave, San Diego, CA 92107-2945 | 2019-10-19 |
| 1043852650 | Stacey Leigh Mclarry | Naturopath | 4905 Del Mar Ave, San Diego, CA 92107-3408 | 2019-10-15 |
| Find all providers in SAN DIEGO | ||||
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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.