DR. KRISTEN NICOL LEISHMAN (NPI# 1720315096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720315096 |
| Entity Type | Individual |
| Full Name | DR. KRISTEN NICOL LEISHMAN |
| Credential | PSY.D |
| Practice Address |
911 Coeur D'alene Ave Venice CA 90291 |
| Mailing Address |
2461 Santa Monica Blvd #730 Santa Monica CA 90404-2138 |
| Practice Telephone | 3104488882 |
| Mailing Telephone | 3104618561 |
| Enumeration Date | 2009-11-06 |
| Last Update Date | 2014-12-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY26811 | CA | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
911 COEUR D'ALENE AVE |
| City | VENICE |
| State | CA |
| Zip Code | 90291 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033629837 | Dylan Booth | Dentist | 601 Vernon Ave, Venice, CA 90291 | 2017-10-05 |
| 1467979500 | Linda Sittler | Registered Nurse | 1025 Palms Ave, Venice, CA 90291 | 2017-08-29 |
| 1003218660 | Patricia Guadalupe Rivas | Counselor | 717 Lincoln Blvd., Venice, CA 90291 | 2014-09-25 |
| 1497016877 | Carrie Lynn Kowalski | Physician Assistant | 604 Rose Avenue, Venice, CA 90291 | 2012-06-02 |
| 1821364761 | Cheryl Lynn Perkins | Nutritionist | 215 Culver Boulevard, # 5203, Playa Del Rey, CA 90291 | 2012-03-26 |
| 1629391875 | James L. Hoff | Optometrist | 1636 Abbot Kinney Blvd., Venice, CA 90291 | 2010-03-02 |
| 1922237882 | David Anthony Garcia | Physician Assistant | 15031 Rinaldi St., Providence Holy Cross Medical Center Ed, Mission Hills, CA 90291 | 2009-07-13 |
| 1548411010 | David Watts | Acupuncturist | 307 S. Robertson Blvd, Beverly Hills, CA 90291 | 2008-10-02 |
| 1184891699 | Judy Alexander | Voluntary or Charitable | 204 Hampton Drive, St Joseph Center, Venice, CA 90291 | 2008-05-14 |
| 1376738252 | Irma Hawkins | Psychologist | 419 Carroll Canal, Venice, CA 90291 | 2007-09-13 |
| Find all providers in zip 90291 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831637685 | Marie Louise Trgovac | Psychologist | 1765 Banyan Dr, Venice, FL 34293-1609 | 2017-02-01 |
| 1588020192 | Elizabeth Shannon Wellford-magnis | Psychologist | 905 Milwood Ave, Venice, CA 90291-3832 | 2016-01-12 |
| 1770999229 | Jwthompson Group, LLC | Psychologist | 263 Royal Oak Way, Venice, FL 34292-3189 | 2014-07-05 |
| 1669693438 | Caron Sue Post | Psychologist | 833 Amoroso Place, Venice, CA 90291-3901 | 2007-05-01 |
| 1245456037 | Allan P. Hess | Psychologist | 477 Carroll Ave, Venice, CA 90291-4677 | 2007-04-18 |
| 1760544803 | Patricia Jo Ryan | Psychologist | 1039 Us Highway 41 Byp S, Venice, FL 34285-4343 | 2006-12-14 |
| 1235189648 | Jeffrey Alan Hirsch | Psychologist | 752 Flower, Venice, CA 90291-2727 | 2006-05-10 |
| 1992243745 | Marie L. Trgovac Counseling, P.a. | Psychologist | 1765 Banyan Dr, Venice, FL 34293-1609 | 2017-02-01 |
| 1144763046 | Julian Achim | Psychologist | 1531 Tamiami Trl S Ste 703, Venice, FL 34285-5569 | 2016-11-24 |
| 1023436987 | Angela Steranko | Psychologist | 1505 Tamiami Trl S Ste 402, Venice, FL 34285-5563 | 2014-03-28 |
| Find all providers in VENICE | ||||
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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.