KELLI MAUREEN COMPEAN (NPI# 1114488830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114488830 |
| Entity Type | Individual |
| Full Name | KELLI MAUREEN COMPEAN |
| Other Name | KELLI M WEIGHTMAN |
| Credential | NP |
| Practice Address |
77 Casa St Ste 201 San Luis Obispo CA 93405-5806 |
| Mailing Address |
2050 S Blosser Rd Santa Maria CA 93458-7310 |
| Practice Telephone | 8052691500 |
| Practice Fax Number | 8052691585 |
| Mailing Telephone | 8053618017 |
| Mailing Fax Number | 8053618097 |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2019-03-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95011281 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
77 CASA ST STE 201 |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93405-5806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487610333 | Ann L Bollay | Internal Medicine | 77 Casa St Ste 201, San Luis Obispo, CA 93405-5806 | 2006-04-20 |
| 1801380605 | Jonas Morales | Nurse Practitioner | 77 Casa St Ste 201, San Luis Obispo, CA 93405-5806 | 2018-06-15 |
| 1629377452 | Community Health Centers of The Central Coast, Inc | Clinic/Center | 77 Casa St Ste 201, San Luis Obispo, CA 93405-5806 | 2011-03-18 |
| 1003048620 | Tina Lisa Heck | Physician Assistant | 77 Casa St Ste 201, San Luis Obispo, CA 93405-5806 | 2009-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164076626 | Hilary Abbott Anderson | Physician Assistant | 127 Casa St., San Luis Obispo, CA 93405 | 2019-08-01 |
| 1811465834 | Fatemeh Ladan Ahmadinia | Dentist | 764 N Santa Rosa St, San Luis Obispo, CA 93405 | 2018-11-07 |
| 1538559794 | Arnold Martin Horwitz | Marriage & Family Therapist | 1605 Garnette Drive, San Luis Obispo, CA 93405 | 2015-01-27 |
| 1750794764 | Solmaz Naghsh | Pharmacist | 765 Foothill Blvd, San Luis Obispo, CA 93405 | 2014-06-06 |
| 1609293471 | Robert S. Flores Dmd, Inc | Dentist | 878 Boysen Avenue, San Luis Obispo, CA 93405 | 2014-03-18 |
| 1457776445 | Laura Anne Wilvert | Marriage & Family Therapist | 793 E. Foothill Blvd, Suite A, #278, San Luis Obispo, CA 93405 | 2014-02-27 |
| 1497181200 | Tracey Ruby Madrigal | Counselor | 1106 Oceanaire Dr. #25, San Luis Obispo, CA 93405 | 2013-09-25 |
| 1437597572 | Sarah Michelle Brenis | Counselor | 524 Princeton Place, San Luis Obispo, CA 93405 | 2013-06-11 |
| 1013350974 | Jenna Rose Ramos | Counselor | 1459 Descanso St., San Luis Obispo, CA 93405 | 2013-04-10 |
| 1700140696 | Christopher Dieterich Marchand | Social Worker | 793a E. Foothill Blvd, 190, San Luis Obispo, CA 93405 | 2012-06-26 |
| Find all providers in zip 93405 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134749898 | Kristy Clemons | Nurse Practitioner | 2102 Broad St, San Luis Obispo, CA 93401-5205 | 2020-04-23 |
| 1215593850 | Emerald Mcleod | Nurse Practitioner | 1242 Monterey St Ste 130, San Luis Obispo, CA 93401-0808 | 2019-05-18 |
| 1932632957 | Janna Tyler | Nurse Practitioner | 1030 Southwood Dr, San Luis Obispo, CA 93401-5813 | 2017-04-06 |
| 1346621547 | Katherine Silva | Nurse Practitioner | 825 El Capitan Way, Apt 24, San Luis Obispo, CA 93401-8944 | 2015-06-12 |
| 1275739245 | Nancy J Walden | Nurse Practitioner | Cal Poly State Health Center, 1 Grand Ave Building 27, San Luis Obispo, CA 93407-0210 | 2007-06-26 |
| 1164415501 | Marya Mei Bolyanatz | Nurse Practitioner | 1250 Peach Street, Suite A, San Luis Obispo, CA 93401-2837 | 2005-08-30 |
| 1013541895 | Michele L Day-brooks | Nurse Practitioner | 705 Grand Ave, San Luis Obispo, CA 93401-2639 | 2020-03-02 |
| 1528690278 | Erin E Green | Nurse Practitioner | 1531 Higuera St, San Luis Obispo, CA 93401-2917 | 2020-02-11 |
| 1912546045 | Cynthia Schenk | Nurse Practitioner | 1585 Kansas Ave, San Luis Obispo, CA 93405-7604 | 2020-01-06 |
| 1942761945 | James Sellers | Nurse Practitioner | 1304 Ella St Ste A, San Luis Obispo, CA 93401-4165 | 2019-03-31 |
| Find all providers in SAN LUIS OBISPO | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93405 |
Please comment or provide details below to improve the information on KELLI MAUREEN COMPEAN.
| 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.