Individual provider · Type 1 NPI

Kellie M. O. Takashima, NP

Nurse Practitioner · San Francisco, CA

NPI number 1568544401 Active

Practice location

2 Embarcadero Ctr Lbby Level
San Francisco, CA 94111-3823

Fax (415) 252-7176

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723

Other practice locations

  • 30 Broad St Fl 45, New York, NY 10004-2942 · (212) 530-0630

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XAP60755079 (WA)
Family Nurse Practitioner 363LF0000XRN2300400 (MA)
Family Nurse Practitioner 363LF0000XAP7772 (AZ)
Nurse Practitioner Primary 363L00000X95002446 (CA)
Nurse Practitioner 363L00000X339604 (NY)

Nurse Practitioner: (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 wit…

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About NPI 1568544401

Kellie M. O. Takashima, NP's National Provider Identifier is 1568544401, issued on Oct 19, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in San Francisco, CA. The record was last updated on Oct 2, 2025.