Healthcare Provider Details

I. General information

NPI: 1164343414
Provider Name (Legal Business Name): NATASHA DAVIS CHT.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

534 OAK ST
ROSEVILLE CA
95678-2621
US

IV. Provider business mailing address

3478 COVELLO CIR
CAMERON PARK CA
95682-4061
US

V. Phone/Fax

Practice location:
  • Phone: 916-747-5493
  • Fax:
Mailing address:
  • Phone: 916-747-5493
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: