Tatyana Mikitiuk, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

552224 Issued in CA

Practice address

4600 Broadway
Suite1300
Sacramento, CA 95820-1527

Phone

(916) 591-2609

Fax

(916) 874-9442

NPI assigned

Aug 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043329659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 BROADWAY",
            "address_2": "SUITE1300",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958201527",
            "telephone_number": "916-591-2609",
            "fax_number": "916-874-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 BROADWAY",
            "address_2": "SUITE1300",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958201527",
            "telephone_number": "916-591-2609",
            "fax_number": "916-874-9442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKITIUK",
        "first_name": "TATYANA",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "552224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mike T Martinez
• Omar Mike
• Mike'S Dental Lab
• Sherri Monique Mikel
• Noor Faris Mikha
• Michael A. Mikitka, D.D.S.
• Angelina Mikityuk
• Nikkita Helen Mikolavich, ASW
• Brazil Milagros
• Tianna Milam

• Registered Nurse in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.