Individual provider Active NPI

Donna Keith, IMFT

  • Marriage & Family Therapist
  • Grass Valley, CA
National Provider Identifier
1043344070
Registry record updated Nov 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
74853 Issued in CA
Practice address
500 Crown Point Cir Ste 120
Grass Valley, CA 95945-9514
Phone
(530) 265-5811
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 74853 CA Primary

Addresses

Primary practice location

500 Crown Point Cir Ste 120
Grass Valley, CA 95945-9514

Mailing address

15887 Norvin Way
Grass Valley, CA 95949-7035
Phone (530) 277-8621

Other names 1

  • Yasha Keith Professional name

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

State licenses

LicenseStateTypeSpecialty
74853CAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448236800000",
    "number": "1043344070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15887 NORVIN WAY",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959497035",
            "telephone_number": "530-277-8621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CROWN POINT CIR STE 120",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959459514",
            "telephone_number": "530-265-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITH",
        "first_name": "DONNA",
        "credential": "IMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2015-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "74853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YASHA",
            "last_name": "KEITH",
            "credential": "IMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Grass Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.