Active NPI
Kathryn Shameklis Zepeda, FNP
- Family Nurse Practitioner
- Playa Vista, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 21927
- Practice address
- 12746 W Jefferson Blvd Ste 2000
Playa Vista, CA 90094-2776 - Phone
- (424) 315-2220
- Fax
- (424) 315-2221
- NPI assigned
- Mar 3, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 21927 | CA | Primary |
Addresses
Primary practice location
12746 W Jefferson Blvd Ste 2000
Playa Vista, CA 90094-2776
Mailing address
4140 W 190TH St
Torrance, CA 90504-5513
Phone (310) 423-3333
Other practice location 1
200 N Robertson Blvd
303
Beverly Hills, CA 90211-1769
Phone (310) 385-3466
Other names 1
- Katy Leigh Shameklis
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 N Robertson Blvd
Suite 202
Beverly Hills, CA 90211-6002
Phone (310) 423-3078
Hospital & facility affiliations
- Cedars-Sinai Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.14 of 100
- Quality
- 84.79
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 73.15
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21927 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedars-Sinai Medical Care Foundation | Current | Accepting new patients |
Locations
200 N Robertson Blvd
Ste 202
Beverly Hills, CA 90211
Phone (310) 385-3300
200 N Robertson Blvd
Ste 303
Beverly Hills, CA 90211
Phone (310) 385-3450
8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674
12746 W Jefferson Blvd
Ste 2000
Playa Vista, CA 90094
Phone (424) 315-2220
4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780
Interoperability endpoints
- kshameklis134169@direct.cshs.org
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.
-
- Specialist
- Los Angeles, CA
- NPI 1316984388
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- West Hollywood, CA
- NPI 1891940326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714608000000",
"number": "1942541834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4140 W 190TH ST",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905045513",
"telephone_number": "310-423-3333",
"fax_number": "310-423-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12746 W JEFFERSON BLVD STE 2000",
"city": "PLAYA VISTA",
"state": "CA",
"postal_code": "900942776",
"telephone_number": "424-315-2220",
"fax_number": "424-315-2221"
}
],
"practiceLocations": [
{
"address_1": "200 N Robertson Blvd",
"address_2": "303",
"address_purpose": "LOCATION",
"city": "Beverly Hills",
"state": "CA",
"postal_code": "902111769",
"country_code": "US",
"telephone_number": "310-385-3466",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZEPEDA",
"first_name": "KATHRYN",
"middle_name": "SHAMEKLIS",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-03",
"last_updated": "2024-05-02",
"certification_date": "2024-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "21927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATY",
"last_name": "SHAMEKLIS",
"middle_name": "LEIGH",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Playa Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.