Kimberly Natashia Mickens, is a
Day Training, Developmentally Disabled Services based in Washington, Georgia. Kimberly Natashia Mickens is licensed to practice in Georgia (license number LPN099093) and her current practice location is
275a Thomson Rd, Washington, Georgia. She can be reached at her office (for appointments etc.) via phone at
(706) 338-8350.
NPI number for Kimberly Natashia Mickens is 1477334415 and her current mailing address is 502 Northlands Ln, Evans, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477334415.
Provider's Profile
| Full Name | Kimberly Natashia Mickens |
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| Gender | Female |
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| Speciality | Day Training, Developmentally Disabled Services |
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| Location | 275a Thomson Rd, Washington, Georgia |
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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: 1477334415
- Provider Enumeration Date: 10/06/2023
- Last Update Date: 10/06/2023
Medical Identifiers
Medical identifiers for Kimberly Natashia Mickens such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477334415 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | LPN099093 (Georgia) | Secondary |
| 251E00000X | Home Health | LPN099093 (Georgia) | Secondary |
| 251J00000X | Nursing Care | LPN099093 (Georgia) | Secondary |
| 261QD1600X | Clinic/center - Developmental Disabilities | LPN099093 (Georgia) | Secondary |
| 385HR2060X | Respite Care - Respite Care, Intellectual And/or Developmental Disabilities, Child | LPN099093 (Georgia) | Secondary |
| 251C00000X | Day Training, Developmentally Disabled Services | LPN099093 (Georgia) | 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. Kimberly Natashia Mickens 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 |
|---|
Kimberly Natashia Mickens,
502 Northlands Ln,
Evans, GA 30809-6695
Ph: (706) 338-8350 | Kimberly Natashia Mickens,
275a Thomson Rd,
Washington, GA 30673-4313
Ph: (706) 338-8350 |
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