MRS. ELISE RENEE ECHEVERRIA (NPI# 1912021254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912021254 |
| Entity Type | Individual |
| Full Name | MRS. ELISE RENEE ECHEVERRIA |
| Credential | RN |
| Practice Address |
4618 Fountain Ave Suite 102 Los Angeles CA 90029-1830 |
| Mailing Address |
5046 Fair Ave One Half North Hollywood CA 91601-4250 |
| Practice Telephone | 3236446180 |
| Mailing Telephone | 8187530684 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
468187 | CA | Nursing Service Providers |
| Street Address |
4618 FOUNTAIN AVE SUITE 102 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90029-1830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134198922 | Judy Jooyun Lee | Pediatrics | 4618 Fountain Ave, Los Angeles, CA 90029-1977 | 2006-03-15 |
| 1437701208 | David Angel Cortez | Nurse Practitioner | 4618 Fountain Ave, Los Angeles, CA 90029-1977 | 2019-07-11 |
| 1235697251 | Top Triamwong | Pharmacist | 4618 Fountain Ave, Los Angeles, CA 90029-1977 | 2019-03-08 |
| 1962976456 | Faith Amarachukwu Onwuka | Nurse Practitioner | 4618 Fountain Ave, Los Angeles, CA 90029-1977 | 2019-01-17 |
| 1043729825 | Erinn Lewis Carusetta | Nurse Practitioner | 4618 Fountain Ave, Los Angeles, CA 90029-1977 | 2017-09-25 |
| 1831628197 | Mehranz Hakimi | Pharmacist | 4618 Fountain Ave, Los Angeles, CA 90029-1977 | 2017-06-08 |
| 1407383532 | Kristie Nakatsuchi | Pharmacist | 4618 Fountain Ave, Los Angeles, CA 90029-1977 | 2017-05-19 |
| 1376083063 | Korina D Milian | Community Health Worker | 4618 Fountain Ave, Los Angeles, CA 90029-1977 | 2017-03-01 |
| 1619417359 | Sandra Marisol Guzman | Community Health Worker | 4618 Fountain Ave, Los Angeles, CA 90029-1977 | 2017-02-28 |
| 1174071799 | Yen Le | Nurse Practitioner | 4618 Fountain Ave, Los Angeles, CA 90029-1977 | 2016-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053884775 | Melrose Recovery, LLC. | Substance Abuse Rehabilitation Facility | 1253 N Commonwealth Ave, Los Angeles, CA 90029 | 2019-01-04 |
| 1548740939 | Mission City Community Network Inc | Clinic/Center | 5300 Santa Monica Blvd Ste 202, Los Angeles, CA 90029 | 2018-08-15 |
| 1215454707 | Dennis De Vera | Respiratory Therapist, Registered | 1154 N. Berendo St, Los Angeles, CA 90029 | 2017-08-24 |
| 1508390881 | Acadia Malibu, Inc. | Community/Behavioral Health | 4423 and 4423 1/2 Santa Monica Boulevard, Los Angeles, CA 90029 | 2017-04-13 |
| 1023556610 | Jasen Mcgoldrick | Substance Abuse Rehabilitation Facility | 4445 Burns Ave., Los Angeles, CA 90029 | 2017-02-03 |
| 1679930572 | Sukhwa Park | Acupuncturist | 4870 Santa Monica Blvd, Los Angeles, CA 90029 | 2016-01-22 |
| 1629326749 | Jocelyn Anne Brown | Midwife | 1042 Sanborn Ave Apt 9, Los Angeles, CA 90029 | 2012-08-21 |
| 1811211915 | Advanced Skilled Nursing Inc. | Skilled Nursing Facility | 975 North Virgil Avenue, Los Angeles, CA 90029 | 2010-03-17 |
| 1427244060 | Manuel Masaganda Ferreras | Technician/Technologist | 1131 N Vermont Ave Ste 101, Los Angeles, CA 90029 | 2007-09-18 |
| 1033321013 | Zhirayr Jerry Khoshoryan | Chiropractor | 1233 Vermont Ave., Suite 1b, Los Angeles, CA 90029 | 2007-05-04 |
| Find all providers in zip 90029 | ||||
| Taxonomy Code | 163WP0807X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Child & Adolescent |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609492107 | Katherine Niemela | Registered Nurse | 5619 W 4th St, Suite 5, Los Angeles, CA 90036 | 2020-06-19 |
| 1821610858 | Deborah Ann Sanders | Registered Nurse | 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414 | 2020-05-13 |
| 1417402744 | Stella Gastrock | Registered Nurse | 550 S Vermont Ave, Los Angeles, CA 90020-1912 | 2016-08-16 |
| 1659716389 | Ijeoma Christiana Okpara | Registered Nurse | 550 S Vermont Ave, Los Angeles, CA 90020-1912 | 2013-05-08 |
| 1891985479 | Roberta Freeman | Registered Nurse | 300 Medical Plaza, Los Angeles, CA 90095-0001 | 2007-07-30 |
| 1609991322 | Cristine Marie Ferrero | Registered Nurse | 5000 W Sunset Blvd, 7th Floor, Los Angeles, CA 90027-5861 | 2007-03-20 |
| 1962535427 | Carolyn Edith Mills | Registered Nurse | 3200 Motor Ave, Los Angeles, CA 90034-3710 | 2007-03-13 |
| 1679605679 | Linda Purdy Boyd | Registered Nurse | 550 S Vermont Ave, 7th Floor, Los Angeles, CA 90020-1912 | 2007-03-12 |
| 1467584094 | Linda Ann Negrin | Registered Nurse | 3200 Motor Ave, Los Angeles, CA 90034-3710 | 2007-03-09 |
| 1023192259 | Marla Jane Griffith | Registered Nurse | 550 S Vermont Ave, Los Angeles, CA 90020-1912 | 2006-10-24 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90029 |
Please comment or provide details below to improve the information on MRS. ELISE RENEE ECHEVERRIA.
| 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.