Active NPI
Latesha Reed Nurse Practitioner a Nursing Corporation
Doing business as Mindful Medicine NP
- Psychiatry Physician
- Los Angeles, CA
National Provider Identifier
1588436844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- LATESHA REED NURSE PRACTITIONER A NURSING CORPORATION
- Doing business as
- Mindful Medicine NP
- Practice address
- 5304 Senford Ave
Los Angeles, CA 90056-1027 - Phone
- (310) 853-2395
- NPI assigned
- Oct 30, 2023
- 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
- Dr. Latesha Tiffany Reed, DNP, FNP, PMHNP
- Title
- Ceo
- Phone
- (310) 853-2395
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | |||
| Primary Care Clinic/Center | 261QP2300X | |||
| Family Nurse Practitioner | 363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
5304 Senford Ave
Los Angeles, CA 90056-1027
Mailing address
400 Corporate Pointe
Ste 300
Culver City, CA 90230
Phone (310) 853-2395
Other names 1
- Mindful Medicine NP
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
10121 S Vermont Ave
Los Angeles, CA 90044
Phone (310) 853-2395
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Culver City, CA
- NPI 1184018012
Family
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698624000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730073600000",
"number": "1588436844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 CORPORATE POINTE",
"address_2": "STE 300",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "90230",
"telephone_number": "310-853-2395",
"fax_number": "203-902-0115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5304 SENFORD AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900561027",
"telephone_number": "310-853-2395"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LATESHA REED NURSE PRACTITIONER A NURSING CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-30",
"last_updated": "2024-10-28",
"certification_date": "2024-10-24",
"status": "A",
"authorized_official_last_name": "REED",
"authorized_official_first_name": "LATESHA",
"authorized_official_middle_name": "TIFFANY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "310-853-2395",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DNP, FNP, PMHNP"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mindful Medicine NP",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.