King's Mindfulness Center

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

KING'S MINDFULNESS CENTER

Practice address

525 Lacey Rd Ste E2
Forked River, NJ 08731-1543

Phone

(732) 278-5459

NPI assigned

Mar 17, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Latisha L. Marshall, APNNPI 1821546094

Title

Owner

Phone

(732) 278-5459

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Latisha Lenee Marshall, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Toms River, NJ
  • NPI 1821546094
  NPD Authorized official

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679011200000",
    "number": "1063114783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1358 HOOPER AVE UNIT 394",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532882",
            "telephone_number": "732-278-5459",
            "fax_number": "732-279-3074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 LACEY RD STE E2",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311543",
            "telephone_number": "732-278-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING'S MINDFULNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "LATISHA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-278-5459",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Michael Kelly Jr., R.PH., B.SC.
• Shannon Marie Keyes, DMD
• Issam Joseph Khammar, DDS
• King Sleep Center
• Cynthia Virginia King, D.C.
• Kirk Optometry, LLC
• James Kirk, D.C.
• Michael John Kirk Sr., DC
• Tara Joanne Weisbeck Kirk, OD
• Kyla Kleban, DC

• Psychiatric/Mental Health Nurse Practitioner in Forked River, NJ
• Providers in Forked River, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.