Active NPI
Stephanie Joyce Reed, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Santa Monica, CA
National Provider Identifier
1396358024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95015647
- Practice address
- 312 Arizona Ave
Santa Monica, CA 90401-1306 - Phone
- (323) 205-7088
- Fax
- (833) 419-0181
- NPI assigned
- Aug 24, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95015647 | CA | Primary |
Addresses
Primary practice location
312 Arizona Ave
Santa Monica, CA 90401-1306
Mailing address
3017 Del Rey Ave
Carlsbad, CA 92009-7510
Phone (206) 819-8358
Other practice location 1
2630 1st Ave
San Diego, CA 92103-6599
Phone (206) 819-8358
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685664000000",
"number": "1396358024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3017 DEL REY AVE",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920097510",
"telephone_number": "206-819-8358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 ARIZONA AVE",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904011306",
"telephone_number": "323-205-7088",
"fax_number": "833-419-0181"
}
],
"practiceLocations": [
{
"address_1": "2630 1st Ave",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921036599",
"country_code": "US",
"telephone_number": "206-819-8358",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REED",
"first_name": "STEPHANIE",
"middle_name": "JOYCE",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-24",
"last_updated": "2023-06-02",
"certification_date": "2021-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95015647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.