Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa Anne Youngblood, RNNP

Individual provider Registered Nurse · NPI 1801843941

Lisa Anne Youngblood, RNNP is a Nurse Practitioner in Los Angeles, California. Qualified in 2020, 6 years ago. Practices with Segal Telepsychiatry Network, a 6-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California and Florida.

Years since qualifying
6
Licensed in
CA, FL
In the registry since
2006
Specialties on file
3
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Practice location Address checks out

1055 Wilshire Blvd Ste 1705
Los Angeles, CA 90017-5600
Phone: (310) 871-0670
Fax: (619) 667-0815
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 655 Redwood Hwy Frontage Rd, Mill Valley, CA 94941-3034 — (866) 247-4292

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 11011940 (FL)
Registered Nurse Taxonomy 163W00000X · Licence RN481125 (CA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence NP11105 (CA)

Record details

NPI number1801843941
Entity typeIndividual (Type 1)
GenderFemale
Credentials RNNP
Sole proprietorNo
NPI enumeratedMay 27, 2006
Last updated in NPPESFebruary 3, 2023
Certification dateFebruary 3, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Segal Telepsychiatry Network — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Los Angeles