La Tasha Marie Knighten, is a
Student In An Organized Health Care Education/training Program based in Fairfield, California. La Tasha Marie Knighten is licensed to practice in * (Not Available) (license number ) and her current practice location is
2460 Clay Bank Rd, Fairfield, California. She can be reached at her office (for appointments etc.) via phone at
(415) 690-0347.
NPI number for La Tasha Marie Knighten is 1669186169 and her current mailing address is 2460 Clay Bank Rd, Fairfield, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669186169.
Healthcare Provider's Profile
| Full Name | La Tasha Marie Knighten |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 2460 Clay Bank Rd, Fairfield, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1669186169
- Provider Enumeration Date: 01/09/2023
- Last Update Date: 10/28/2024
Medical Identifiers
Medical identifiers for La Tasha Marie Knighten such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669186169 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 106H00000X | Marriage & Family Therapist | 147905 (California) | 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. La Tasha Marie Knighten 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 |
|---|
La Tasha Marie Knighten,
2460 Clay Bank Rd,
Fairfield, CA 94533-1655
Ph: () - | La Tasha Marie Knighten,
2460 Clay Bank Rd,
Fairfield, CA 94533-1655
Ph: (415) 690-0347 |
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