KENNA HAILE
NPI 1154173011
Student in an Organized Health Care Education/Training Program in San Francisco, CA

Active since April 03, 2024PECOS Enrolled
675 18TH ST, SAN FRANCISCO, CA 94143(415) 476-7000 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Kenna Haile NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNA HAILE (NPI 1154173011) is an individual student in an organized health care education/training program in San Francisco, California and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1154173011
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKENNA HAILE
Location Address675 18TH STSan Francisco, CA 94143-4200
Mailing Address320 Edmund Pl Apt 405Detroit, MI 48201-3196 · (916) 897-4948
Sole ProprietorNo
Enumeration DateApril 3, 2024
NPPES CertifiedApril 3, 2024
✔ NPI 1154173011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
675 18TH ST, San Francisco, CA 94143

Secondary Practice Locations 2

Location 1400 Parnassus AveSan Francisco, CA 94143-2202 · Phone (415) 476-1000
Location 21600 Divisadero StSan Francisco, CA 94143-3010 · Phone (415) 567-6600

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenna Haile is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
675 18TH ST
SAN FRANCISCO, CA 94143
Psychiatry & Neurology (Psychiatry)
675 18TH ST
SAN FRANCISCO, CA 94143
Psychiatry & Neurology (Psychiatry)
675 18TH ST
SAN FRANCISCO, CA 94143
Social Worker
675 18TH ST
SAN FRANCISCO, CA 94143
Psychiatry & Neurology (Psychiatry)
675 18TH ST
SAN FRANCISCO, CA 94143
Student in an Organized Health Care Education/Training Program
675 18TH ST
SAN FRANCISCO, CA 94143
Psychologist (Clinical Child & Adolescent)
675 18TH ST
SAN FRANCISCO, CA 94143
Psychiatry & Neurology (Psychiatry)
675 18TH ST
SAN FRANCISCO, CA 94143

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenna Haile's NPI number?

The NPI number for Kenna Haile is 1154173011. It was assigned to this individual provider in the NPPES registry on April 3, 2024.

Where is Kenna Haile located?

Kenna Haile practices at 675 18th St, San Francisco, CA 94143. The listed phone number is (415) 476-7000.

What is Kenna Haile's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kenna Haile enrolled in Medicare?

Yes. Kenna Haile is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenna Haile was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.