KELLIE M. O. TAKASHIMA NP
NPI 1568544401
Nurse Practitioner in San Francisco, CA

Q: What is Kellie Takashima's NPI number?

The NPI number for Kellie Takashima is 1568544401. It was assigned to this individual provider in the NPPES registry on October 19, 2006. The provider is also known as Kellie M. O'hara.

Q: What is Kellie Takashima's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kellie Takashima was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.

Active since October 19, 2006

2 EMBARCADERO CTR LBBY LEVEL, SAN FRANCISCO, CA 94111(888) 663-6331(415) 252-7176 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 14, 2025, Feb 7, 2023, Jun 25, 2020 (3 updates tracked since 2020).

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About Kellie M. O. Takashima Np NPPES

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

KELLIE M. O. TAKASHIMA NP (NPI 1568544401) is an individual nurse practitioner in San Francisco, California, licensed in California (95002446) and active in the NPI registry since October 2006. She maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1568544401

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKELLIE M. O. TAKASHIMACredential: NP

Location Address2 EMBARCADERO CTR LBBY LEVELSan Francisco, CA 94111-3823

Mailing Address1 Embarcadero Ctr Ste 1900San Francisco, CA 94111-3723 · (415) 658-6791

Phone(888) 663-6331

Fax(415) 252-7176

Sole ProprietorNo

Enumeration DateOctober 19, 2006

Last NPPES UpdateOctober 2, 20253 updates tracked since enumeration

NPPES CertifiedOctober 2, 2025

✔ NPI 1568544401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in CA · 95002446✔ Licensed in NY · 339604

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP60755079 (WA), RN2300400 (MA), AP7772 (AZ)

2 EMBARCADERO CTR LBBY LEVEL, San Francisco, CA 94111

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Other Names 1

Former Name (1)Kellie M. O'hara

Secondary Practice Location 1

Location 130 Broad St Fl 45New York, NY 10004-2942 · Phone (212) 530-0630 · Fax (415) 252-7176

Other Identifiers 2

Other0000220004HI · Hmsa Billing Number

Medicaid55037802HI

Leave this field empty

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.

MS. MOENSANIA CARISA PHILLIPS NURSE PRACTITIONER

Nurse Practitioner (Family)