Provider Demographics
NPI:1881200103
Name:KINGSEED, NATASHA LOUISE
Entity Type:Individual
Prefix:MRS
First Name:NATASHA
Middle Name:LOUISE
Last Name:KINGSEED
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 1:3040 W COUNTY ROAD 6
Mailing Address - Street 2:
Mailing Address - City:TIFFIN
Mailing Address - State:OH
Mailing Address - Zip Code:44883-9478
Mailing Address - Country:US
Mailing Address - Phone:419-348-8350
Mailing Address - Fax:
Practice Address - Street 1:3040 W COUNTY ROAD 6
Practice Address - Street 2:
Practice Address - City:TIFFIN
Practice Address - State:OH
Practice Address - Zip Code:44883-9478
Practice Address - Country:US
Practice Address - Phone:419-348-8350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-22
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH172A00000X, 3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No172A00000XOther Service ProvidersDriver