Provider Demographics
NPI:1760858799
Name:LITTLE, NATASHIA
Entity type:Individual
Prefix:
First Name:NATASHIA
Middle Name:
Last Name:LITTLE
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:PO BOX 2917
Mailing Address - Street 2:
Mailing Address - City:PIKEVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41501-2917
Mailing Address - Country:US
Mailing Address - Phone:606-218-6280
Mailing Address - Fax:606-218-4562
Practice Address - Street 1:911 BY PASS ROAD CLINIC 6
Practice Address - Street 2:
Practice Address - City:PIKEVILLE
Practice Address - State:KY
Practice Address - Zip Code:41501-1520
Practice Address - Country:US
Practice Address - Phone:606-218-6406
Practice Address - Fax:606-218-7506
Is Sole Proprietor?:No
Enumeration Date:2015-08-13
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3009424363L00000X, 363LG0600X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology