Individual provider Active NPI

Nicole Kamil El Beyrouthy, RN

  • Administrator Registered Nurse
  • Los Angeles, CA
National Provider Identifier
1619149606
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
717159 Issued in CA
Practice address
643 N Lucerne Blvd
Los Angeles, CA 90004-1206
Phone
(323) 462-7019
NPI assigned
Mar 31, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 717159 CA Primary

Addresses

Primary practice location

643 N Lucerne Blvd
Los Angeles, CA 90004-1206

Mailing address

643 N Lucerne Blvd
Los Angeles, CA 90004-1206
Phone (323) 462-7019

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
717159CAMDAdministrator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1619149606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 N LUCERNE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900041206",
            "telephone_number": "323-462-7019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 N LUCERNE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900041206",
            "telephone_number": "323-462-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL BEYROUTHY",
        "first_name": "NICOLE",
        "middle_name": "KAMIL",
        "name_prefix": "Miss",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "CA",
            "license": "717159",
            "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 Mar 31, 2008; 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.