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KATRINA JALIAH THELISME
NPI 1467281436
Nurse Practitioner - Family in Maplewood, NJ

Active since July 29, 2024
2130 MILLBURN AVE, MAPLEWOOD, NJ 07040(973) 843-7149 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 4, 2025, Jul 29, 2024 (2 updates tracked since 2024).

About Katrina Jaliah Thelisme NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATRINA JALIAH THELISME (NPI 1467281436) is an individual family provider in Maplewood, New Jersey, licensed in New Jersey (26NJ15230700) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1467281436
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATRINA JALIAH THELISME
Location Address2130 MILLBURN AVEMaplewood, NJ 07040-3725
Mailing Address2130 Millburn Ave Ste C7Maplewood, NJ 07040-3747 · (908) 884-8419
Phone(973) 843-7149
Sole ProprietorNo
Enumeration DateJuly 29, 2024
Last NPPES UpdateMarch 4, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2025
✔ NPI 1467281436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NJ · 26NJ15230700
2130 MILLBURN AVE, Maplewood, NJ 07040
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MOSES MYERS JR. MS, LCADC,SAP
Counselor (Addiction (Substance Use Disorder))
2130 MILLBURN AVE, SUITE D1
MAPLEWOOD, NJ 07040
Essex County (908) 875-5123
AUNJULI A. HICKS LPC LIMITED LIABILITY COMPANY
Counselor (Mental Health)
2130 MILLBURN AVE, STE C8
MAPLEWOOD, NJ 07040
Essex County (908) 364-7611
MS. NATASHA NICKOLE MANNING PH.D., LPC
Counselor (Professional)
2130 MILLBURN AVE, SUITE D1
MAPLEWOOD, NJ 07040
Essex County (973) 536-7486
CLARA ALLISON
Massage Therapist
2130 MILLBURN AVE, SUITE C8 FLR C
MAPLEWOOD, NJ 07040
Essex County (973) 259-6966
DR. SEGUN V SIMON MD
Internal Medicine (Nephrology)
2130 MILLBURN AVE, SUITE C-3
MAPLEWOOD, NJ 07040
Essex County (973) 996-2727
JEFFREY TUCKER LCSW
Social Worker (Clinical)
2130 MILLBURN AVE
MAPLEWOOD, NJ 07040
Essex County (646) 382-7410
DR. WILLIAM EDGAR CARR LCSW
Social Worker (Clinical)
2130 MILLBURN AVE, D1
MAPLEWOOD, NJ 07040
Essex County (973) 592-1512
DR. SYLVIA S LEE M D
Allergy & Immunology (Allergy)
2130 MILLBURN AVE
MAPLEWOOD, NJ 07040
Essex County (973) 763-5787

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katrina Thelisme's NPI number?

The NPI number for Katrina Thelisme is 1467281436. It was assigned to this individual provider in the NPPES registry on July 29, 2024.

Where is Katrina Thelisme located?

Katrina Thelisme practices at 2130 Millburn Ave, Maplewood, NJ 07040. The listed phone number is (973) 843-7149.

What is Katrina Thelisme's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Katrina Thelisme was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.