Active NPI
Kathreena Lim Wilson
- Psychiatric/Mental Health Nurse Practitioner
- Visalia, CA
National Provider Identifier
1457124141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95027865
- Practice address
- 100 Willow PLZ Ste 309
Visalia, CA 93291-6215 - Phone
- (559) 372-0523
- NPI assigned
- Nov 3, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP70150392 | WA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95027865 | CA | Primary |
Addresses
Primary practice location
100 Willow PLZ Ste 309
Visalia, CA 93291-6215
Mailing address
100 Willow PLZ Ste 309
Visalia, CA 93291-6215
Phone (559) 372-0523
Other practice location 1
702 Workman St
Bakersfield, CA 93307-6800
Phone (661) 335-7140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95027865 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tule River Indian Health Center, Inc. | Past | Accepting new patients |
Interoperability endpoints
- kathreena.balangauan.p1@direct.trihci.nextgenshare.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Porterville, CA
- NPI 1972586972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786320000000",
"number": "1457124141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 WILLOW PLZ STE 309",
"city": "VISALIA",
"state": "CA",
"postal_code": "932916215",
"telephone_number": "559-372-0523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WILLOW PLZ STE 309",
"city": "VISALIA",
"state": "CA",
"postal_code": "932916215",
"telephone_number": "559-372-0523"
}
],
"practiceLocations": [
{
"address_1": "702 Workman St",
"address_purpose": "LOCATION",
"city": "Bakersfield",
"state": "CA",
"postal_code": "933076800",
"country_code": "US",
"telephone_number": "661-335-7140",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILSON",
"first_name": "KATHREENA",
"middle_name": "LIM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-03",
"last_updated": "2026-08-10",
"certification_date": "2026-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP70150392",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95027865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.