Individual provider Active NPI

Shemiah Meshai Sullivan, NP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1497274625
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95007452 Issued in CA
Practice address
969 E 12TH St Ste D
Los Angeles, CA 90021-2201
Phone
(310) 800-1776
NPI assigned
Sep 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95007452 CA
Primary Care Nurse Practitioner 363LP2300X 95007452 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95007452 CA Primary

Addresses

Primary practice location

969 E 12TH St Ste D
Los Angeles, CA 90021-2201

Mailing address

21213B Hawthorne Blvd # 1032
Torrance, CA 90503-5501
Phone (310) 428-7638

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180213000564 CA Practitioner - Nurse Practitioner 7214297290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95007452CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness & Equity Foundation Inc. CurrentSince Jan 20, 2026 Accepting new patients
SMS Nursing Coporation Family Current Accepting new patients
Wea Ca PC CurrentSince Jan 20, 2026 Accepting new patients
Hospice Care of America, LLC PastSince Sep 4, 2022 Accepting new patients

Locations

969 E 12th St
Los Angeles, CA 90021

969 E 12th St
Ste D
Los Angeles, CA 90021
Phone (408) 341-9606

160 N Luring Dr
Ste D
Palm Springs, CA 92262
Phone (408) 341-9606

21213 Hawthorne Blvd
Ste B
Torrance, CA 90503
Phone (310) 284-2274

Interoperability endpoints

  • Direct secure messaging: shemiah.sullivan.1@14883.direct.athenahealth.com

Organizations & group practices 4

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": "1505779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1497274625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21213B HAWTHORNE BLVD # 1032",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035501",
            "telephone_number": "310-428-7638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 E 12TH ST STE D",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900212201",
            "telephone_number": "310-800-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "SHEMIAH",
        "middle_name": "MESHAI",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-19",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95007452",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95007452",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95007452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.