Provider Demographics
NPI:1710491378
Name:DRAPER, NATASHI D
Entity Type:Individual
Prefix:
First Name:NATASHI
Middle Name:D
Last Name:DRAPER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20815 BALMORAL GLEN LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-1753
Mailing Address - Country:US
Mailing Address - Phone:301-213-4163
Mailing Address - Fax:
Practice Address - Street 1:20815 BALMORAL GLEN LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-1753
Practice Address - Country:US
Practice Address - Phone:301-213-4163
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-18
Last Update Date:2017-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X, 251J00000X, 385HR2060X
TX310069164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No251J00000XAgenciesNursing CareGroup - Multi-Specialty
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child