Santashia Dinetira Reed, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN279624 Issued in GA

Practice address

3618 Falls TRL
Winston, GA 30187-1592

Phone

(585) 576-5758

NPI assigned

Oct 19, 2012

Last updated

Sep 6, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Evolutionary Minds LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Winston, GA
  • NPI 1780578849
  Authorized official Same address or phone

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1285987826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3618 FALLS TRL",
            "city": "WINSTON",
            "state": "GA",
            "postal_code": "301871592",
            "telephone_number": "585-576-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3618 FALLS TRL",
            "city": "WINSTON",
            "state": "GA",
            "postal_code": "301871592",
            "telephone_number": "585-576-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "SANTASHIA",
        "middle_name": "DINETIRA",
        "name_prefix": "Ms.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-19",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN279624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Jones, LICSW
• Gene Edward Lassiter, PHARMD
• Maple Clinic for Speech and Language LLC
• Linda M Paige, LPC, LMHC, CPCS
• Amber Reaves, NP
• Tania Masha Sims
• SM&B Group
• Leondria Taty, FNP-C
• United Medical Response LLC
• Chrissy Wolf

• Psychiatric/Mental Health Nurse Practitioner in Winston, GA
• Providers in Winston, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.