Active NPI
Latoyia Neal, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Bellevue, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP61148148
- Practice address
- 14205 SE 36TH St
Ste 100
Bellevue, WA 98006 - Phone
- (404) 999-4726
- NPI assigned
- Feb 16, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NCO-000001 | GA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN216723 | GA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP61148148 | WA | Primary |
Addresses
Primary practice location
14205 SE 36TH St
Ste 100
Bellevue, WA 98006
Mailing address
320 Lanier Ave W Ste 200
Fayetteville, GA 30214-7443
Phone (404) 999-4726
Other practice location 1
320 Lanier Ave W
Ste 200
Fayetteville, GA 30214-6388
Phone (404) 999-4726
Other names 1
- N/a N/a
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6505 216TH St SW
Suite 100
Mountlake Terrace, WA 98043-2089
Phone (425) 640-7009
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NCO-000001 | GA | MD | Family Nurse Practitioner |
| AP61148148 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gentle Care Behavioral Health PLLC | Current | Accepting new patients | |
| Personal Recovery Network LLC | Current | Accepting new patients | |
| SGMP Southland LLC | Current | Accepting new patients | |
| Choice Family Medicine, PC | Current | Accepting new patients | |
| Counseling Services for Wellbeing, Inc. | Current | Accepting new patients | |
| Mindful Therapy Group PC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
320 Lanier Ave W
Ste 200
Fayetteville, GA 30214
Phone (404) 850-0653
320 Lanier Ave W
Fayetteville, GA 30214
Phone (404) 729-3371
250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685
201 Woodrow Wilson Dr
Valdosta, GA 31602
Phone (229) 241-0041
15811 Ambaum Blvd SW
Ste 110
Burien, WA 98166
Phone (206) 242-8211
6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463
21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698
320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113
101 Elliott Ave W
Ste 500
Seattle, WA 98119
Phone (206) 708-6432
Organizations & group practices 6
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.
-
- Clinical Social Worker
- Mountlake Terrace, WA
- NPI 1316238678
Psychiatric/Mental Health
-
- Marriage & Family Therapist
- Burien, WA
- NPI 1588080626
-
- Adult Mental Health Clinic/Center
- Fayetteville, GA
- NPI 1407510878
-
- Psychiatry Physician
- Stockbridge, GA
- NPI 1881990869
-
- Psychiatry Physician
- Valdosta, GA
- NPI 1447695085
-
- Primary Care Clinic/Center
- Valdosta, GA
- NPI 1609087469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690761600000",
"number": "1851891873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 LANIER AVE W STE 200",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302147443",
"telephone_number": "404-999-4726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14205 SE 36TH ST",
"address_2": "STE 100",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "98006",
"telephone_number": "404-999-4726"
}
],
"practiceLocations": [
{
"address_1": "320 Lanier Ave W",
"address_2": "Ste 200",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "GA",
"postal_code": "302146388",
"country_code": "US",
"telephone_number": "404-999-4726",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEAL",
"first_name": "LATOYIA",
"name_prefix": "Mrs.",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-16",
"last_updated": "2023-07-31",
"certification_date": "2023-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "GA",
"license": "NCO-000001",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "GA",
"license": "RN216723",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP61148148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "N/A",
"last_name": "N/A",
"credential": "LATOYIA JACKSON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.