Individual provider Active NPI

Katherine Penelope Weeks, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Laguna Niguel, CA
National Provider Identifier
1124672514
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95011910 Issued in CA
Practice address
28801 Jaeger Dr
Laguna Niguel, CA 92677-1325
Phone
(949) 295-3321
NPI assigned
Jul 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95011910 CA Primary

Addresses

Primary practice location

28801 Jaeger Dr
Laguna Niguel, CA 92677-1325

Mailing address

28801 Jaeger Dr
Laguna Niguel, CA 92677-1325
Phone (949) 395-3321

Other practice location 1

4100 Newport Place Dr Ste 730
Newport Beach, CA 92660-1411
Phone (844) 867-8444

Other practice location 2

27101 Puerta Real Ste 120
Mission Viejo, CA 92691-8536
Phone (844) 867-8444

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201125000259 CA Practitioner - Nurse Practitioner 6507277472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4100 Newport Place Dr
Suite 730
Newport Beach, CA 92660-1411
Phone (714) 705-6411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95011910CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Health Solutions a Professional Medical Corporation CurrentSince Jul 23, 2020 Accepting new patients

Locations

1503 S Coast Dr
Ste 111
Costa Mesa, CA 92626
Phone (714) 206-6868

5455 Wilshire Blvd
Ste 903
Los Angeles, CA 90036
Phone (628) 244-4364

27101 Puerta Real
Ste 120
Mission Viejo, CA 92691
Phone (949) 273-2522

4100 Newport Place Dr
Ste 730
Newport Beach, CA 92660
Phone (714) 705-6411

360 Post St
Ste 500
San Francisco, CA 94108
Phone (415) 671-6819

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.

NPI Registry JSON

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1124672514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28801 JAEGER DR",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926771325",
            "telephone_number": "949-395-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28801 JAEGER DR",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926771325",
            "telephone_number": "949-295-3321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 Newport Place Dr Ste 730",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926601411",
            "country_code": "US",
            "telephone_number": "844-867-8444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27101 Puerta Real Ste 120",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "926918536",
            "country_code": "US",
            "telephone_number": "844-867-8444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEEKS",
        "first_name": "KATHERINE",
        "middle_name": "PENELOPE",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95011910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

Verify at the official NPI Registry.