Amelia Jean Kolenc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

950006669 Issued in CA

Practice address

18226 Ventura Blvd Ste 102
Tarzana, CA 91356-4246

Phone

(818) 905-5904

NPI assigned

Apr 4, 2018

Sex

Female

Sole proprietor

No

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Golden State Wound Care a Medical Corporation

  • Internal Medicine Physician
  • Pasadena, CA
  • NPI 1972499523
  Medicare reassignment NPD
• Ajk Perioperative Nursing Services Incorporated

  • Registered Nurse First Assistant
  • Agoura Hills, CA
  • NPI 1174195085
  NPD Authorized official

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522800000000",
    "number": "1487150744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6130 NEVADA AVE APT E215",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913673433",
            "telephone_number": "412-508-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18226 VENTURA BLVD STE 102",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564246",
            "telephone_number": "818-905-5904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLENC",
        "first_name": "AMELIA",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-04",
        "last_updated": "2018-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "950006669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salar Kohan, MD
• Itay Kohane, PSYD
• Babik Ruben Kohanteb, PHARM.D.
• Frederick Michael Kohn, M.D.
• Stephen Kolb
• Savina Emilova Kollmorgen, MPT
• Richelle Konczak
• Stecy Konian
• Natalya Korablin, M.A.; L
• Jonathan Korbelak

• Family Nurse Practitioner in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.