| Kenya Denette Smith, | |
|
5000 Van Nuys Blvd Ste 305, Sherman Oaks, CA 91403-1717 | |
| (818) 480-6456 | |
| (818) 205-1924 |
| Full Name | Kenya Denette Smith |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 5000 Van Nuys Blvd Ste 305, Sherman Oaks, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285056911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 578715 (California) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95000220 (California) | Primary |
| Entity Name | Los Angeles Lgbt Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548298532 PECOS PAC ID: 8729975453 Enrollment ID: O20040227001020 |
| Entity Name | Grow Healthcare Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenya Denette Smith, 5000 Van Nuys Blvd Ste 305, Sherman Oaks, CA 91403-1717 Ph: (818) 480-6456 | Kenya Denette Smith, 5000 Van Nuys Blvd Ste 305, Sherman Oaks, CA 91403-1717 Ph: (818) 480-6456 |
Sonya Hallabyan, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4419 Van Nuys Blvd Ste 403, Sherman Oaks, CA 91403 Phone: 705-710-0747 | |
Somaly Sith, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4849 Van Nuys Blvd # 202, Sherman Oaks, CA 91403 Phone: 404-213-0453 | |
Mrs. Allison W Dolphin, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14735 Ventura Blvd, Sherman Oaks, CA 91403 Phone: 818-788-0208 | |
Jennifer Quandt Nunez, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15477 Ventura Blvd, Sherman Oaks, CA 91403 Phone: 818-907-0322 | |
Racquelle Ranan Tugade Thieling, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5805 Sepulveda Blvd Ste 690, Sherman Oaks, CA 91411 Phone: 818-900-6480 Fax: 818-900-6488 | |
Laura Marie Cortez, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5651 Sepulveda Blvd Ste 201, Sherman Oaks, CA 91411 Phone: 818-788-2400 | |
Ardene J Cudiamat, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4955 Van Nuys Blvd, Suite 411, Sherman Oaks, CA 91403 Phone: 818-784-7903 Fax: 818-784-7026 |