Individual provider Active NPI

Nakieta Lankster, PSYD

  • Psychologist
  • Demopolis, AL
National Provider Identifier
1285976548
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
05846 Issued in MD
Practice address
108 W Capitol St
Demopolis, AL 36732-2002
Phone
(202) 838-6455
NPI assigned
Mar 25, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
School Psychologist 103TS0200X
Clinical Psychologist 103TC0700X 2010 AL
Psychologist 103T00000X 05846 MD Primary

Addresses

Primary practice location

108 W Capitol St
Demopolis, AL 36732-2002

Mailing address

2224 Orleans St
Baltimore, MD 21231-1335
Phone (202) 838-6455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171228002570 MD Practitioner - Psychologist Billing Independently 8729346432 Practice locations: Windsor Mill, MD

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05846MDMDPsychologist
2010ALMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
One Healing Education and Renewing Through Therapy Clinical CurrentSince Mar 29, 2020 Accepting new patients
Dr. Nakieta M. Lankster LLC Past Accepting new patients

Locations

210 E Lexington St
Ste 400
Baltimore, MD 21202
Phone (334) 341-4011

Organizations & group practices 2

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": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474588800000",
    "number": "1285976548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2224 ORLEANS ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212311335",
            "telephone_number": "202-838-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W CAPITOL ST",
            "city": "DEMOPOLIS",
            "state": "AL",
            "postal_code": "367322002",
            "telephone_number": "202-838-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANKSTER",
        "first_name": "NAKIETA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-25",
        "last_updated": "2016-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "2010",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "05846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Demopolis, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.