Individual provider Active NPI

Sherie Ann Viencek, D.C.

  • Nutrition Chiropractor
  • Fair Oaks, CA
National Provider Identifier
1033306287
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
20435 Issued in CA
Practice address
5330 Primrose Dr Ste 137
Fair Oaks, CA 95628-3541
Phone
(916) 225-7653
NPI assigned
Oct 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN1001X 20435 CA Primary

Addresses

Primary practice location

5330 Primrose Dr Ste 137
Fair Oaks, CA 95628-3541

Mailing address

5330 Primrose Dr Ste 137
Fair Oaks, CA 95628-3541
Phone (916) 225-7653

Other practice location 1

191 Intrepid Ln
Syracuse, NY 13205-2548
Phone (916) 225-7653

Other identifiers 1

IdentifierTypeStateIssuer
20435OtherCACHIROPRACTIC LICENSE

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1033306287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5330 PRIMROSE DR STE 137",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956283541",
            "telephone_number": "916-225-7653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330 PRIMROSE DR STE 137",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956283541",
            "telephone_number": "916-225-7653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "191 Intrepid Ln",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132052548",
            "country_code": "US",
            "telephone_number": "916-225-7653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIENCEK",
        "first_name": "SHERIE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-02",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "CA",
            "license": "20435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "20435",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.