KATHERINE ELIZABETH KEKLAK (NPI# 1609406925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609406925 |
| Entity Type | Individual |
| Full Name | KATHERINE ELIZABETH KEKLAK |
| Credential | RN |
| Practice Address |
1509 Wilson Terrace Glendale CA 91206 |
| Mailing Address |
750 E Third St Apt E11 Pomona CA 91766-2078 |
| Practice Telephone | 8184098000 |
| Mailing Telephone | 6142099013 |
| Enumeration Date | 2020-01-26 |
| Last Update Date | 2020-01-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
782159 | CA | Nursing Service Providers |
| Street Address |
1509 WILSON TERRACE |
| City | GLENDALE |
| State | CA |
| Zip Code | 91206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689649469 | Michael Jefferson | Anesthesiology | 1509 Wilson Terrace, Glendale, CA 91206-4098 | 2006-02-23 |
| 1225681661 | Abigail Valdez | Dietitian, Registered | 1509 Wilson Terrace, Glendale, CA 91206 | 2019-07-23 |
| 1851747711 | Glendale Adventist Medical Center | General Acute Care Hospital | 1509 Wilson Terrace, Glendale, CA 91206 | 2016-05-10 |
| 1578982435 | Sheilah Maureen Kraetzel | Internal Medicine | 1509 Wilson Terrace, Glendale, CA 91206-4007 | 2014-04-08 |
| 1033393053 | Monica Natalia Macias | Pharmacist | 1509 Wilson Terrace, Glendale, CA 91206-4007 | 2007-12-27 |
| 1083754501 | Khin Swe Lay | Pediatrics | 1509 Wilson Terrace, Glendale Adventist Medical Center, Glendale, CA 91206-4007 | 2007-02-07 |
| 1811036007 | Mona Lai King Chung | Pediatrics | 1509 Wilson Terrace, Glendale Adventist Medical Center, Glendale, CA 91206-4007 | 2007-02-05 |
| 1780741330 | George Delfin Reyes | Radiology | 1509 Wilson Terrace, Glendale, CA 91206-4007 | 2007-01-02 |
| 1366525487 | Los Angeles Radiology Medical Associates, Inc. | Radiology | 1509 Wilson Terrace, Glendale, CA 91206-4007 | 2006-10-23 |
| 1548351000 | Marie A. Moy | Radiology | 1509 Wilson Terrace, Glendale, CA 91206-4007 | 2006-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922611003 | Skyla L Bergin | Behavior Technician | 741 Glenvia St., Suite 200, Glendale, CA 91206 | 2020-08-28 |
| 1861017303 | Scm Nutrition Diet Inc | Dietitian, Registered | 2437 Bywood Drive, Glendale, CA 91206 | 2020-06-10 |
| 1336761295 | Glendale Whole Health | Family Medicine | 230 N Maryland Aave #110, Glendale, CA 91206 | 2020-05-14 |
| 1467010801 | Rebecca Bautista | Counselor | 223 North Jackson Street, Glendale, CA 91206 | 2019-05-31 |
| 1689132920 | M4l Transport Inc | Non-emergency Medical Transport (VAN) | 336 N Louise St #4d, Glendale, CA 91206 | 2019-03-05 |
| 1376042705 | Eileen Wong, Md Inc. | Physical Medicine & Rehabilitation | 2664 E Glenoaks Blvd, Glendale, CA 91206 | 2018-02-12 |
| 1629507900 | Aleksan Chakhoyan | Registered Nurse | 501 N. Glendale Ave., Glendale, CA 91206 | 2017-06-08 |
| 1851793343 | Sevak Olmessekian | Pharmacist | 230 N. Maryland Ave., Suite 307, Glendale, CA 91206 | 2014-09-16 |
| 1558762575 | Zyanya Mendoza | Clinical Neuropsychologist | 1560 E Chevy Chase Dr Ste 140, Glendale, CA 91206 | 2014-09-09 |
| 1629488358 | Nina Behdin | Surgery | 1560 E Chevy Chase Dr Ste 430, Glendale, CA 91206 | 2014-05-02 |
| Find all providers in zip 91206 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245858893 | Farshad Yahya | Registered Nurse | 7801 N 44th Dr Unit 1012, Glendale, AZ 85301-8106 | 2020-07-10 |
| 1306492277 | Maria Veronica A Lopez | Registered Nurse | 1000 E Windsor Rd, Unit 2, Glendale, CA 91205 | 2019-08-15 |
| 1073937900 | Maral H. Sabounjian-sarkissian | Registered Nurse | 1329 Greenbriar Rd, Glendale, CA 91207-1253 | 2014-02-12 |
| 1255646113 | Alissa N Yancey | Registered Nurse | 1074 S Dahlia St Apt G533, Glendale, CO 80246-4254 | 2010-08-16 |
| 1639784515 | Peter Kwaku Boateng | Registered Nurse | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-09-09 |
| 1720691413 | Miguel A Santiago Cruz | Registered Nurse | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-08-24 |
| 1386256188 | Ronda Armatrading | Registered Nurse | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-08-21 |
| 1396356465 | Joanne Inawat Lopez | Registered Nurse | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-08-12 |
| 1023641743 | Jonathan Shaw | Registered Nurse | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-02-20 |
| 1831739564 | Matthew David Demaree | Registered Nurse | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-01-10 |
| Find all providers in GLENDALE | ||||
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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.