Provider Demographics
NPI:1225907413
Name:FRANKS, KATIE
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:
Last Name:FRANKS
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4843 BLACK BART TRL
Mailing Address - Street 2:
Mailing Address - City:REDWOOD VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95470-9410
Mailing Address - Country:US
Mailing Address - Phone:707-890-0454
Mailing Address - Fax:
Practice Address - Street 1:4843 BLACK BART TRL
Practice Address - Street 2:
Practice Address - City:REDWOOD VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95470-9410
Practice Address - Country:US
Practice Address - Phone:707-890-0454
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-04
Last Update Date:2025-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula