MS. KATHLEEN BRIDGET LALLY-ARENA (NPI# 1700246303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700246303 |
| Entity Type | Individual |
| Full Name | MS. KATHLEEN BRIDGET LALLY-ARENA |
| Credential | R, MSN, FNP, NCSN |
| Practice Address |
5400 Balboa Bl Suite 103 Encino CA 91316 |
| Mailing Address |
5185 Stevens Cir Culver City CA 90230-4921 |
| Practice Telephone | 3108667237 |
| Practice Fax Number | 3106368221 |
| Mailing Telephone | 3108667237 |
| Mailing Fax Number | 3106368221 |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2016-02-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NP11205 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5400 BALBOA BL SUITE 103 |
| City | ENCINO |
| State | CA |
| Zip Code | 91316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548883341 | Kerry Ann Mclean | Marriage & Family Therapist | 1777 Ventura Blvd Unit 103, Encino, CA 91316 | 2020-05-27 |
| 1336793124 | Achieve Speech Associates, Inc. | Clinic/Center | 17605 Ventura Boulevard, #302, Encino, CA 91316 | 2019-07-30 |
| 1053978312 | Somnia Sleep Science & Treatment Center | Clinic/Center | 5435 Balboa Blvd Suite 100, Encino, CA 91316 | 2019-05-22 |
| 1437634466 | New Spirit Recovery, LLC | Substance Abuse Rehabilitation Facility | 17856 Cathedral Pl., Encino, CA 91316 | 2018-09-25 |
| 1649762014 | Hashemi Ophthalmology, PC | Ophthalmology | 5353 Balboa Blvd Ste 110, Encino, CA 91316 | 2018-06-01 |
| 1932614310 | Hannah Esther Weinsrein | Marriage & Family Therapist | 17337 Ventura Blvd., Sutie #317, Encino, CA 91316 | 2017-12-07 |
| 1881118560 | Paula Miley | Marriage & Family Therapist | 5535 Balboa Blvd #202, Encino, CA 91316 | 2017-08-03 |
| 1477088193 | Rachela Conti | Psychologist | 5400 Balboa Blvd. #311, Encino, CA 91316 | 2017-05-01 |
| 1962857235 | Jessica Shlager | Occupational Therapist | 6345 Balboa Boulevard Suite 120, Encino, CA 91316 | 2016-04-25 |
| 1720432800 | Canyon West Los Angeles LLC | Clinic/Center | 17167 W. Ventura Boulevard, Encino, CA 91316 | 2016-04-14 |
| Find all providers in zip 91316 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508488891 | Armine Tadevosyan | Nurse Practitioner | 16101 Ventura Blvd Ste 300, Encino, CA 91436-2514 | 2020-05-11 |
| 1396384665 | Ann Meehan | Nurse Practitioner | 16830 Ventura Blvd Ste 315, Encino, CA 91436-1723 | 2020-01-03 |
| 1760965321 | Karen Sue House-milburn | Nurse Practitioner | 16633 Ventura Blvd Ste 110, Encino, CA 91436-1834 | 2018-09-10 |
| 1487157277 | Jennifer Ellis | Nurse Practitioner | 16101 Ventura Blvd Ste 333, Encino, CA 91436-2516 | 2018-03-17 |
| 1669747739 | Liana Shahijani | Nurse Practitioner | 17200 Burbank Blvd Apt 341, Encino, CA 91316-1855 | 2012-03-21 |
| 1619944949 | Marci Moghadam | Nurse Practitioner | 16720 Alginet Place, Encino, CA 91436-4119 | 2006-03-06 |
| 1700376571 | Ardeshir Pooshpas | Nurse Practitioner | 16260 Ventura Blvd, Encino, CA 91436 | 2018-05-16 |
| 1023520004 | Tanya Jennette Smit | Nurse Practitioner | 18055 Ventura Blvd, Encino, CA 91316-3517 | 2017-10-30 |
| 1134641087 | Kelly Michele Manda | Nurse Practitioner | 5363 Balboa Blvd Ste 245, Encino, CA 91316-2827 | 2017-07-12 |
| 1205370236 | Marcie Jo Hoppe | Nurse Practitioner | 16133 Ventura Blvd Ste 360, Encino, CA 91436-2426 | 2016-12-09 |
| Find all providers in ENCINO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.