Knew Mindset LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

KNEW MINDSET LLC

Practice address

944 State Highway 77
Marion, AR 72364-9004

Phone

(870) 821-0315

NPI assigned

Jan 28, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Jaleesa Shears, DNP, APRNNPI 1508478066

Title

Owner

Phone

(870) 559-9144

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jaleesa Shears

  • Psychiatric/Mental Health Nurse Practitioner
  • Marion, AR
  • NPI 1508478066
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708732800000",
    "number": "1639822828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1530",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723641539",
            "telephone_number": "870-559-9144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 STATE HIGHWAY 77",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723649004",
            "telephone_number": "870-821-0315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNEW MINDSET LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-28",
        "last_updated": "2024-02-24",
        "certification_date": "2024-02-24",
        "status": "A",
        "authorized_official_last_name": "SHEARS",
        "authorized_official_first_name": "JALEESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-559-9144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, APRN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "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": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kassidy Kirkman, PHARM.D.
• Teresa Kundert
• Toni Rae Landreth, MHPP
• Kacee Latimar
• Latorie Lee
• Latissha Lendora Leflore

• Psychiatric/Mental Health Nurse Practitioner in Marion, AR
• Providers in Marion, AR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.

Verify at the official NPI Registry.