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KRISHUNA S MICKENS
NPI 1548838766
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since June 14, 2021
1912 W 75TH ST, LOS ANGELES, CA 90047(323) 895-2596 Get Directions Write a Review

NPPES record last updated: June 14, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Krishuna S Mickens NPPES

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

KRISHUNA S MICKENS (NPI 1548838766) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1548838766
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKRISHUNA S MICKENS
Location Address1912 W 75TH STLos Angeles, CA 90047-2324
Mailing Address1912 W 75th StLos Angeles, CA 90047-2324 · (323) 895-2596
Phone(323) 895-2596
Sole ProprietorYes
Enumeration DateJune 14, 2021
NPPES CertifiedJune 14, 2021
✔ NPI 1548838766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
1912 W 75TH ST, Los Angeles, CA 90047
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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 Krishuna Mickens's NPI number?

The NPI number for Krishuna Mickens is 1548838766. It was assigned to this individual provider in the NPPES registry on June 14, 2021.

Where is Krishuna Mickens located?

Krishuna Mickens practices at 1912 W 75th St, Los Angeles, CA 90047. The listed phone number is (323) 895-2596.

What is Krishuna Mickens's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Krishuna Mickens was last updated on June 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.