Mary Katherine Llarena, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95005344 Issued in CA

Practice address

1510 E Main St
Ste 101
Santa Maria, CA 93454

Phone

(805) 928-0610

Fax

(805) 928-0680

NPI assigned

Nov 29, 2016

Last updated

Aug 24, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535068800000",
    "number": "1447793211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 E MAIN ST",
            "address_2": "STE 101",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544825",
            "telephone_number": "805-928-0610",
            "fax_number": "805-928-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 E MAIN ST",
            "address_2": "STE 101",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "93454",
            "telephone_number": "805-928-0610",
            "fax_number": "805-928-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLARENA",
        "first_name": "MARY KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-29",
        "last_updated": "2018-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95005344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelia Marie Littig, PT, DPT
• Erica Cheng Liu, PA-C
• Xin Liu, PHARM D
• Anabella Jai Lizama
• Cesar Lizama
• Raymund J Llaurado, M.D.
• LMG Resources, Inc.
• Chloe Lo, MS, RD
• Sandra Mary Loehner, FNP
• Jacqueline Loew, ED.D

• Nurse Practitioner in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; 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.

Verify at the official NPI Registry.