Individual provider Active NPI

Michele Rose Wilkerson, ND

  • Naturopath
  • Roseville, CA
National Provider Identifier
1043476377
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
ND-312 Issued in CA
Practice address
254 Gibson Drive
Roseville, CA 95678
Phone
(916) 351-9355
Fax
(916) 351-5600
NPI assigned
Aug 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 07-1013 AZ
Naturopath 175F00000X ND-312 CA Primary

Addresses

Primary practice location

254 Gibson Drive
Roseville, CA 95678

Mailing address

254 Gibson Drive
Roseville, CA 95678
Phone (916) 351-9355

Other names 1

  • Dr. Michele R Wilkerson Former 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
07-1013AZMDNaturopath
ND-312CAMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Revolutions Naturopathic Medical Solutions Naturopath CurrentSince Oct 9, 2022 Accepting new patients

Locations

230 Blue Ravine Rd
Folsom, CA 95630
Phone (916) 351-5600

254 Gibson Dr
Roseville, CA 95678
Phone (916) 351-9355

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1043476377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 GIBSON DRIVE",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "95678",
            "telephone_number": "916-351-9355",
            "fax_number": "916-351-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 GIBSON DRIVE",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "95678",
            "telephone_number": "916-351-9355",
            "fax_number": "916-351-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "MICHELE",
        "middle_name": "ROSE",
        "name_prefix": "Miss",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-06",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "07-1013",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CA",
            "license": "ND-312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "WILKERSON",
            "middle_name": "R",
            "prefix": "DR.",
            "credential": "NMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.