Provider Demographics
NPI:1114264199
Name:CASH, TAAKA M (DNP, APRN, PMHNP-BC)
Entity Type:Individual
Prefix:DR
First Name:TAAKA
Middle Name:M
Last Name:CASH
Suffix:
Gender:F
Credentials:DNP, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1230 N KIMBALL AVE STE 140
Mailing Address - Street 2:
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-4707
Mailing Address - Country:US
Mailing Address - Phone:409-998-9508
Mailing Address - Fax:
Practice Address - Street 1:1230 N KIMBALL AVE STE 130
Practice Address - Street 2:
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092-4707
Practice Address - Country:US
Practice Address - Phone:409-998-9508
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-10
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95008577363LP0808X
TXAP123623363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA363LP0808XMedicaid
CA363LP0808XOtherMEDI-CAL
TX363LP0808XMedicaid