1. Home
  2. Directory
  3. Massachusetts
  4. Worcester
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

DR. KELLI TAKAHATA M.D.
NPI 1407171333
Student in an Organized Health Care Education/Training Program in Worcester, MA

Active since April 03, 2010
55 LAKE AVENUE NORTH, WORCESTER, MA 01655(508) 334-1000 Get Directions Write a Review

NPPES record last updated: July 9, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kelli Takahata M.d. NPPES

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

DR. KELLI TAKAHATA M.D. (NPI 1407171333) is an individual student in an organized health care education/training program in Worcester, Massachusetts and active in the NPI registry since April 2010.

NPPES Registry Identity

NPI1407171333
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. KELLI TAKAHATACredential: M.D.
Location Address55 LAKE AVENUE NORTHWorcester, MA 01655
Mailing Address55 Lake Avenue NorthWorcester, MA 01655 · (508) 334-1000
Phone(508) 334-1000
Sole ProprietorNo
Enumeration DateApril 3, 2010
Last NPPES UpdateJuly 9, 2014
✔ NPI 1407171333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
55 LAKE AVENUE NORTH, Worcester, MA 01655
Open in Google Maps ↗

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.

MAI-PHUONG THI TRAN PHARMD
Pharmacist
55 LAKE AVENUE NORTH
WORCESTER, MA 01655
Worcester County (508) 421-1900
NEIL J. KLUGER MD
Internal Medicine (Hematology & Oncology)
55 LAKE AVENUE NORTH
WORCESTER, MA 01655
Worcester County (508) 334-6276
SUMA CHANDRA KANNABIRAN MD
Radiology (Diagnostic Radiology)
55 LAKE AVENUE NORTH, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-1000
DISHA DALELA MD
Student in an Organized Health Care Education/Training Program
55 LAKE AVENUE NORTH
WORCESTER, MA 01655
Worcester County (508) 334-1000
DR. LEORA BETH BALSAM M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
55 LAKE AVENUE NORTH, DEPARTMENT OF SURGERY
WORCESTER, MA 01655
Worcester County (508) 334-2577
DR. KATHERINE HENDREN ROSE MD
Student in an Organized Health Care Education/Training Program
55 LAKE AVENUE NORTH
WORCESTER, MA 01655
Worcester County (508) 856-3590
MARLENE DENISE JACOBO MD
Student in an Organized Health Care Education/Training Program
55 LAKE AVENUE NORTH
WORCESTER, MA 01655
Worcester County (508) 334-1000
KIMBERLY MAI ZAYHOWSKI MS
Genetic Counselor, MS
55 LAKE AVENUE NORTH, DEPARTMENT OF GENETICS; BENEDICT BUILDING 3RD FLOOR
WORCESTER, MA 01655
Worcester County (774) 442-6660

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 Kelli Takahata's NPI number?

The NPI number for Kelli Takahata is 1407171333. It was assigned to this individual provider in the NPPES registry on April 3, 2010.

Where is Kelli Takahata located?

Kelli Takahata practices at 55 Lake Avenue North, Worcester, MA 01655. The listed phone number is (508) 334-1000.

What is Kelli Takahata's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelli Takahata was last updated on July 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.