KIMBERLY NATASHIA MICKENS
NPI 1477334415
Day Training, Developmentally Disabled Services in Washington, GA

Q: What is Kimberly Mickens's NPI number?

The NPI number for Kimberly Mickens is 1477334415. It was assigned to this individual provider in the NPPES registry on October 6, 2023.

Q: What is Kimberly Mickens's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Mickens was last updated on October 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 06, 2023

275A THOMSON RD, WASHINGTON, GA 30673(706) 338-8350 Get Directions Write a Review

NPPES record last updated: October 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kimberly Natashia Mickens NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY NATASHIA MICKENS (NPI 1477334415) is an individual day training, developmentally disabled services provider in Washington, Georgia, licensed in Georgia (LPN099093) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1477334415

Entity TypeIndividualFemale

Primary Taxonomy251C00000X

Provider Legal NameKIMBERLY NATASHIA MICKENS

Location Address275A THOMSON RDWashington, GA 30673-4313

Mailing Address502 Northlands LnEvans, GA 30809-6695 · (706) 338-8350

Phone(706) 338-8350

Sole ProprietorYes

Enumeration DateOctober 6, 2023

NPPES CertifiedOctober 5, 2023

✔ NPI 1477334415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyDay Training, Developmentally Disabled ServicesAgencies

Taxonomy Code251C00000X

License✔ Licensed in GA · LPN099093

Definition

These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

Also ListedLicensed Practical NurseTaxonomy 164W00000X · License LPN099093 (GA)

Also ListedHome HealthTaxonomy 251E00000X · License LPN099093 (GA)

Also ListedNursing CareTaxonomy 251J00000X · License LPN099093 (GA)

Also ListedClinic/Center · Developmental DisabilitiesTaxonomy 261QD1600X · License LPN099093 (GA)

Also ListedRespite Care · Respite Care, Intellectual and/or Developmental DisabilitiesTaxonomy 385HR2060X · License LPN099093 (GA)

275A THOMSON RD, Washington, GA 30673

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Mickens's NPI number?

The NPI number for Kimberly Mickens is 1477334415. It was assigned to this individual provider in the NPPES registry on October 6, 2023.

Where is Kimberly Mickens located?

Kimberly Mickens practices at 275A Thomson Rd, Washington, GA 30673. The listed phone number is (706) 338-8350.

What is Kimberly Mickens's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Mickens was last updated on October 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.