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MS. KELLY ANN NYSTROM
NPI 1982912846
Student in an Organized Health Care Education/Training Program in Oakland, CA

Active since September 14, 2010
4368 LINCOLN AVE, OAKLAND, CA 94602(510) 531-3111 Get Directions Write a Review

NPPES record last updated: September 14, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Kelly Ann Nystrom NPPES

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

MS. KELLY ANN NYSTROM (NPI 1982912846) is an individual student in an organized health care education/training program in Oakland, California and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1982912846
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMS. KELLY ANN NYSTROM
Location Address4368 LINCOLN AVEOakland, CA 94602-2529
Mailing Address30 Poncetta Dr Apt 116Daly City, CA 94015-1130 · (916) 792-5785
Phone(510) 531-3111
Sole ProprietorNo
Enumeration DateSeptember 14, 2010
✔ NPI 1982912846 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.
4368 LINCOLN AVE, Oakland, CA 94602
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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.

LIANA JUSTINE KARAM
Social Worker (School)
4368 LINCOLN AVE
OAKLAND, CA 94602
Alameda County (510) 531-3111
MS. CHRISTINE AMY STONER-MERTZ LCSW
Social Worker (Clinical)
4368 LINCOLN AVE
OAKLAND, CA 94602
Alameda County (510) 485-7100
MR. CHRISTOPHER BRANTLEY BRYDEN
Case Manager/Care Coordinator
4368 LINCOLN AVE
OAKLAND, CA 94602
Alameda County (510) 531-3111
DELFINA PADILLA
Counselor (Mental Health)
4368 LINCOLN AVE
OAKLAND, CA 94602
Alameda County (510) 531-3111
JAMES RUSSELL ANDRETTA M.A.
Counselor (Mental Health)
4368 LINCOLN AVE
OAKLAND, CA 94602
Alameda County (510) 847-0265
BRYANT A MATTHEWS
Counselor (Mental Health)
4368 LINCOLN AVE
OAKLAND, CA 94602
Alameda County (504) 274-5454
MR. ARIAN EVERELL FRETT
Counselor (Mental Health)
4368 LINCOLN AVE
OAKLAND, CA 94602
Alameda County (510) 531-3111
MR. MARLON LEE MCWILSON
Counselor
4368 LINCOLN AVE
OAKLAND, CA 94602
Alameda County (510) 531-3111

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 Kelly Nystrom's NPI number?

The NPI number for Kelly Nystrom is 1982912846. It was assigned to this individual provider in the NPPES registry on September 14, 2010.

Where is Kelly Nystrom located?

Kelly Nystrom practices at 4368 Lincoln Ave, Oakland, CA 94602. The listed phone number is (510) 531-3111.

What is Kelly Nystrom'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 Kelly Nystrom was last updated on September 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.