Active NPI
Selene Yvette Artry, NP
- Family Nurse Practitioner
- Los Angeles, CA
National Provider Identifier
1386849347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP17233
- Practice address
- 874 W Martin Luther King Jr Blvd
Los Angeles, CA 90037-1205 - Phone
- (323) 238-0800
- Fax
- (323) 238-0875
- NPI assigned
- Jun 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP17233 | CA | Primary |
Addresses
Primary practice location
874 W Martin Luther King Jr Blvd
Los Angeles, CA 90037-1205
Mailing address
9217 S Hobart Blvd
Los Angeles, CA 90047-3821
Phone (323) 756-5198
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240404002916 | CA | Order and Referring Only - Nurse Practitioner | 4587844956 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17233 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| NP17233 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386849347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9217 S HOBART BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900473821",
"telephone_number": "323-756-5198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "874 W MARTIN LUTHER KING JR BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900371205",
"telephone_number": "323-238-0800",
"fax_number": "323-238-0875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARTRY",
"first_name": "SELENE",
"middle_name": "YVETTE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP17233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.