Individual provider Active NPI

Kathreena Lim Wilson

  • Psychiatric/Mental Health Nurse Practitioner
  • Visalia, CA
National Provider Identifier
1457124141
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95027865 Issued in CA
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

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
95027865CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tule River Indian Health Center, Inc. PastSince Nov 5, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.