Healthcare Provider Details

I. General information

NPI: 1568342368
Provider Name (Legal Business Name): MONICA HIGHFILL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2025
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5232 ELDERBERRY DR
WEED CA
96094-9756
US

IV. Provider business mailing address

1467 SISKIYOU BLVD # 2005
ASHLAND OR
97520-2336
US

V. Phone/Fax

Practice location:
  • Phone: 408-472-1696
  • Fax:
Mailing address:
  • Phone: 408-472-1696
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: