IndividualActive
Kellie Jack
NPI 1437305265 · Community Health Worker · Eureka, CA
Kellie Jack is a Community Health Worker provider in Eureka, CA (NPI 1437305265).
Provider details
- NPI number
- 1437305265
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
720 Wood St
Eureka, CA 95501-4413
Phone: (707) 268-2990
Street-level locationGet directions
Mailing address
2266 Redwood St Apt G
Eureka, CA 95503-6268
Registry dates
- Enumerated
- 2008-08-12
- Last updated
- 2014-04-04
Frequently asked questions
- What is Kellie Jack's NPI number?
- Kellie Jack's National Provider Identifier (NPI) is 1437305265, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kellie Jack's specialty?
- Kellie Jack is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).
- Where is Kellie Jack located?
- Kellie Jack's practice location on file with NPPES is 720 Wood St, Eureka, CA 95501-4413.
- What is Kellie Jack's phone number?
- The practice phone number listed in the NPPES registry for Kellie Jack is (707) 268-2990.
- Is Kellie Jack's NPI active?
- Yes — Kellie Jack's NPI (1437305265) is active in the NPPES registry as of the last update on 2014-04-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.