Active NPI
Janelle Kittelson, CNP
- Family Nurse Practitioner
- Sherman Oaks, CA
National Provider Identifier
1932503554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95006209
- Practice address
- 14735 Ventura Blvd
Sherman Oaks, CA 91403-3679 - Phone
- (866) 389-2727
- NPI assigned
- Oct 9, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 041434653 | IL | |
| Family Nurse Practitioner | 363LF0000X | CP000902 | SD | |
| Family Nurse Practitioner | 363LF0000X | 95006209 | CA | Primary |
Addresses
Primary practice location
14735 Ventura Blvd
Sherman Oaks, CA 91403-3679
Mailing address
14735 Ventura Blvd
Sherman Oaks, CA 91403-3679
Phone (866) 389-2727
Other practice location 1
11200 Lincoln Hwy
Mokena, IL 60448-8208
Phone (866) 389-2727
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)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041434653 | IL | MD | Family Nurse Practitioner |
| CP000902 | SD | MD | Family Nurse Practitioner |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580860800000",
"number": "1932503554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14735 VENTURA BLVD",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914033679",
"telephone_number": "866-389-2727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14735 VENTURA BLVD",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914033679",
"telephone_number": "866-389-2727"
}
],
"practiceLocations": [
{
"address_1": "11200 Lincoln Hwy",
"address_purpose": "LOCATION",
"city": "Mokena",
"state": "IL",
"postal_code": "604488208",
"country_code": "US",
"telephone_number": "866-389-2727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KITTELSON",
"first_name": "JANELLE",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-09",
"last_updated": "2020-02-05",
"certification_date": "2020-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "041434653",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SD",
"license": "CP000902",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95006209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.