Active NPI
Mindset of Optimism
- Psychiatric/Mental Health Nurse Practitioner
- Kingstree, SC
National Provider Identifier
1184479925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- MINDSET OF OPTIMISM
- Practice address
- 4 Kit Ave
Kingstree, SC 29556-6770 - Phone
- (803) 260-0429
- NPI assigned
- Apr 23, 2024
- Last updated
- Jul 8, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paula Leggette
- Title
- Ao
- Phone
- (803) 260-0429
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
4 Kit Ave
Kingstree, SC 29556-6770
Mailing address
4 Kit Ave
Kingstree, SC 29556-6770
Phone (803) 445-5646
National Provider Directory
National Provider DirectoryLocations
409 Martin Luther King Ave
Kingstree, SC 29556
Phone (803) 260-0429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720396800000",
"number": "1184479925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 KIT AVE",
"city": "KINGSTREE",
"state": "SC",
"postal_code": "295566770",
"telephone_number": "803-445-5646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 KIT AVE",
"city": "KINGSTREE",
"state": "SC",
"postal_code": "295566770",
"telephone_number": "803-260-0429"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINDSET OF OPTIMISM",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-23",
"last_updated": "2024-07-08",
"certification_date": "2024-07-08",
"status": "A",
"authorized_official_last_name": "LEGGETTE",
"authorized_official_first_name": "PAULA",
"authorized_official_title_or_position": "AO",
"authorized_official_telephone_number": "803-260-0429"
},
"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": []
}
Other providers in Kingstree, SC
- McLeod Health Clarendon (McLeod Family Medicine-Kingstree)
- McLeod Physician Associates II (McLeod Family Medicine Kingstree)
- McLeod Physician Associates II (McLeod Family Medicine Kingstree)
- Medical University Hospital Authority (MUSC Health Primary Care - Thurgood Marshall Blvd)
- Medicine Center
- Angela Allen Morris, FNP
- Kevin Ashley Morris, DC
- Natasha Morris
- Monica Murdaugh-Nelson, CCC-SLP
- Destiny Murph
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.