Natasha Renee Theard, is a
Student In An Organized Health Care Education/training Program based in San Jose, California. Natasha Renee Theard is licensed to practice in * (Not Available) (license number ) and her current practice location is
1555 Parkmoor Ave, San Jose, California. She can be reached at her office (for appointments etc.) via phone at
(408) 282-0402.
NPI number for Natasha Renee Theard is 1447517685 and her current mailing address is 1885 Lundy Ave Ste 223, San Jose, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1447517685.
Healthcare Provider's Profile
| Full Name | Natasha Renee Theard |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1555 Parkmoor Ave, San Jose, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1447517685
- Provider Enumeration Date: 04/12/2012
- Last Update Date: 10/08/2024
Medical Identifiers
Medical identifiers for Natasha Renee Theard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447517685 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Natasha Renee Theard is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Natasha Renee Theard,
1885 Lundy Ave Ste 223,
San Jose, CA 95131-1888
Ph: (408) 284-9000 | Natasha Renee Theard,
1555 Parkmoor Ave,
San Jose, CA 95128-2407
Ph: (408) 282-0402 |
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