MINDFUL MEDICAL SERVICES, LLC
NPI 1124693015
Nurse Practitioner - Family in Lanham, MD
Active since May 24, 2021
About Mindful Medical Services, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINDFUL MEDICAL SERVICES, LLC (NPI 1124693015) is a healthcare organization registered as a family in Lanham, Maryland and active in the NPI registry since May 2021. The organization lists Trisha-leigh Porter, Owner/np, as its authorized official.
NPPES Registry Identity
NPI1124693015
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMINDFUL MEDICAL SERVICES, LLC
Location Address7404 EXECUTIVE PL STE 100Lanham, MD 20706-6237
Mailing Address7404 Executive Place, Ste 100Lanham, MD 20706 · (443) 379-4410
Phone(443) 379-4410
Organization SubpartNo
Authorized OfficialTrisha-leigh PorterOwner/np · (443) 379-4410
Enumeration DateMay 24, 2021
Last NPPES UpdateJuly 2, 20213 updates tracked since enumeration
NPPES CertifiedJuly 2, 2021
✔ NPI 1124693015 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
7404 EXECUTIVE PL STE 100, Lanham, MD 20706
Group Practice 1
Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Nurse Practitioner (Psychiatric/Mental Health)
7404 EXECUTIVE PL STE 100
LANHAM, MD 20706
LANHAM, MD 20706
Substance Abuse Rehabilitation Facility
7404 EXECUTIVE PL STE 100
LANHAM, MD 20706
LANHAM, MD 20706
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
7404 EXECUTIVE PL STE 100
LANHAM, MD 20706
LANHAM, MD 20706
Nurse Practitioner (Psychiatric/Mental Health)
7404 EXECUTIVE PL STE 100
LANHAM, MD 20706
LANHAM, MD 20706
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124693015, enumerated as an "organization" on May 24, 2021.
The provider is located at 7404 EXECUTIVE PL STE 100 LANHAM, MD 20706 and the phone number is (443) 379-4410.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
