DR. KELLEN SHADE (NPI# 1952946634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952946634 |
| Entity Type | Individual |
| Full Name | DR. KELLEN SHADE |
| Credential | ND |
| Practice Address |
800 W Ivy St Ste A San Diego CA 92101-1771 |
| Mailing Address |
930 Thomas Ave Apt 10 San Diego CA 92109-4029 |
| Practice Telephone | 6198406700 |
| Mailing Telephone | 8315947258 |
| Enumeration Date | 2019-11-17 |
| Last Update Date | 2019-11-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175F00000X | Naturopath | 1123 | CA | Other Service Providers |
| Street Address |
800 W IVY ST STE A |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92101-1771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275040545 | Theresa Marshall | Naturopath | 800 W Ivy St Ste A, San Diego, CA 92101-1771 | 2018-01-08 |
| 1033688601 | Alison Gordon | Naturopath | 800 W Ivy St Ste A, San Diego, CA 92101-1771 | 2018-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415472 | Ryanleo Flores | Nurse Practitioner | 2017 1st Avenue, Suite 301, San Diego, CA 92101 | 2020-10-18 |
| 1265056048 | Tilbe Yildirim | Student in an Organized Health Care Education/Training Program | 1963 Fourth Ave., San Diego, CA 92101 | 2020-06-08 |
| 1235752585 | Liminal Solutions LLC | Home Health | 845 15th Street, Floors 1-4, San Diego, CA 92101 | 2020-05-21 |
| 1699258459 | Talya Donahue | Peer Specialist | 1045 Ninth Ave, San Diego, CA 92101 | 2018-09-07 |
| 1700380086 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1850 5th Ave, San Diego, CA 92101 | 2018-03-21 |
| 1013436161 | Yasmin Galicianava | Student in an Organized Health Care Education/Training Program | 734 Tenth Ave, San Diego, CA 92101 | 2017-09-10 |
| 1487172516 | Jessica Roach | Counselor | 1045 9th Avenue, San Diego, CA 92101 | 2017-09-09 |
| 1699204099 | Lisa Nunez | Student in an Organized Health Care Education/Training Program | 1963 4th Avenue, San Diego, CA 92101 | 2017-06-08 |
| 1356882245 | Dajah Mone't Lockett | Counselor | 2535 Kettner Blvd Suite 1a4, San Diego, CA 92101 | 2017-03-13 |
| 1649718495 | Luigi Bunyi | Behavior Technician | 501 W Broadway Suite 800, San Diego, CA 92101 | 2017-02-01 |
| Find all providers in zip 92101 | ||||
| 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.