Mind Changing Inc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

MIND CHANGING INC

Practice address

3817 Canal Bank Dr
Slidell, LA 70461-6644

Phone

(504) 875-9443

Fax

(337) 643-8407

NPI assigned

Jul 12, 2023

Organization subpart

Yes

Parent organization

SHANTA SMITHAs reported in NPPES

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

Authorized official

Name

Vanessa Domingue

Title

Office Manager

Phone

(337) 643-8424

Specialties & licenses 2

Addresses

Other names 1

• SHANTA SMITH Other name

Part of

Mind Changing Inc

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1124707765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 85",
            "city": "KAPLAN",
            "state": "LA",
            "postal_code": "705480085",
            "telephone_number": "337-643-8424",
            "fax_number": "337-643-8407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3817 CANAL BANK DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704616644",
            "telephone_number": "504-875-9443",
            "fax_number": "337-643-8407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND CHANGING INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHANTA SMITH",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "DOMINGUE",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "337-643-8424"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHANTA SMITH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Josh Millet, CPO
• Michael Millet
• Lisa Milliet, M.S., PLPC
• Joshua Mills, MHS
• Mind and Body Care LLC
• Mississippi Center for Advanced Medicine, PC
• Mississippi Center for Advanced Medicine, PC
• Shelley Mitchell, RN
• Tara Mitchell, MD
• Taylor Mobley, MA, PLPC

• Family Nurse Practitioner in Slidell, LA
• Providers in Slidell, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.