Active NPI
Lateisha Prescott, APNP
- Psychiatric/Mental Health Nurse Practitioner
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 10005-33
- Practice address
- 10850 W Park PL Ste 100
Milwaukee, WI 53224-3636 - Phone
- (262) 999-3495
- NPI assigned
- Nov 5, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 10005-33 | WI | Primary |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 176126-30 | WI |
Addresses
Primary practice location
10850 W Park PL Ste 100
Milwaukee, WI 53224-3636
Mailing address
4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630
Phone (262) 999-3495
Other practice location 1
34700 Valley Rd
Oconomowoc, WI 53066-4599
Phone (262) 646-4411
Other practice location 2
1205 S 70th St Ste 301
West Allis, WI 53214-3167
Phone (414) 475-2788
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609410364 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10850 W Park Place
Suite 100
Milwaukee, WI 53224-3636
Phone (262) 789-1191
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 176126-30 | WI | MD | Psychiatric/Mental Health Registered Nurse |
| 10005-33 | WI | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Counseling Services, Inc | Current | Accepting new patients | |
| Professional Services Group, Inc. | Current | Accepting new patients |
Locations
4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392
16535 W Bluemound Rd
Ste 200
Brookfield, WI 53005
Phone (262) 789-0909
10850 W Park Pl
Ste 100
Milwaukee, WI 53224
Phone (414) 361-4100
1205 S 70th St
Ste 301
West Allis, WI 53214
Phone (414) 475-2788
Interoperability endpoints
- lifestancehealth.lateishaprescott@149809.advancedmd-direct.com
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.
-
- Mental Health Counselor
- Brookfield, WI
- NPI 1033127246
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Kenosha, WI
- NPI 1619024262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779321600000",
"number": "1609410364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 N SCOTTSDALE RD STE 2500",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852517630",
"telephone_number": "262-999-3495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10850 W PARK PL STE 100",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532243636",
"telephone_number": "262-999-3495"
}
],
"practiceLocations": [
{
"address_1": "34700 Valley Rd",
"address_purpose": "LOCATION",
"city": "Oconomowoc",
"state": "WI",
"postal_code": "530664599",
"country_code": "US",
"telephone_number": "262-646-4411",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1205 S 70th St Ste 301",
"address_purpose": "LOCATION",
"city": "West Allis",
"state": "WI",
"postal_code": "532143167",
"country_code": "US",
"telephone_number": "414-475-2788",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRESCOTT",
"first_name": "LATEISHA",
"name_prefix": "Miss",
"credential": "APNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-05",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WI",
"license": "10005-33",
"primary": true
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "WI",
"license": "176126-30",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1609410364",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.