Active NPI
Keyna Gwen Wardlow
- Adult Companion
- Sacramento, CA
National Provider Identifier
1023904000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- Practice address
- 3840 Rosin CT
Sacramento, CA 95834-1639 - Phone
- (916) 921-0828
- NPI assigned
- Jun 16, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Adult Companion | 372600000X | CA | Primary |
Addresses
Primary practice location
3840 Rosin CT
Sacramento, CA 95834-1639
Mailing address
2920 Ramona Ave Apt 2311
Sacramento, CA 95826-3855
Phone (661) 234-2241
Other practice location 1
2920 Ramona Ave Apt 2311
Sacramento, CA 95826-3855
Phone (661) 234-2241
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785974400000",
"number": "1023904000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2920 RAMONA AVE APT 2311",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958263855",
"telephone_number": "661-234-2241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3840 ROSIN CT",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958341639",
"telephone_number": "916-921-0828"
}
],
"practiceLocations": [
{
"address_1": "2920 Ramona Ave Apt 2311",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958263855",
"country_code": "US",
"telephone_number": "661-234-2241",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WARDLOW",
"first_name": "KEYNA",
"middle_name": "GWEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-16",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.