Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477334415 Individual Practitioner Female Practitioner

Kimberly Natashia Mickens

Day Training, Developmentally Disabled Services • Washington, GA

Professional Overview & Biography Verified Profile Summary

Kimberly Mickens is a registered healthcare professional specializing in Day Training, Developmentally Disabled Services in Washington, GA. Practice services are available at 275A THOMSON RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

275a Thomson Rd

Washington, GA 306734313

Telephone 7063388350

Specialty Benchmarks & Practice Insights

Comparative analytics for Day Training, Developmentally Disabled Services in Washington, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Washington, GA (49 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-10-05
Day Training, Developmentally Disabled Services Primary Specialty

NUCC Taxonomy Code: 251C00000X

State License GA LPN099093

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.

Licensed Practical Nurse

NUCC Taxonomy Code: 164W00000X

State License GA LPN099093

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Home Health

NUCC Taxonomy Code: 251E00000X

State License GA LPN099093

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Nursing Care

NUCC Taxonomy Code: 251J00000X

State License GA LPN099093

A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.

Clinic/Center - Developmental Disabilities

NUCC Taxonomy Code: 261QD1600X

State License GA LPN099093

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, Child

NUCC Taxonomy Code: 385HR2060X

State License GA LPN099093

A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 06, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location October 06, 2023

Registered at 275A THOMSON RD, WASHINGTON, GA 306734313 (Tel: 7063388350)

📍
Updated Business Mailing Address October 06, 2023

Registered at 502 NORTHLANDS LN, EVANS, GA 308096695 (Tel: 7063388350)

👤
Provider Name / Credentials Updated October 06, 2023

Recorded as KIMBERLY MICKENS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2023

Licensed Practical Nurse (License #LPN099093 in GA)

🟢
Initial NPI Registration & Enumeration October 06, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477334415
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 06, 2023
Last Update: October 06, 2023
Sole Proprietor: Yes

Mailing Address

502 Northlands Ln

Evans, GA 308096695

Phone: 7063388350

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.