Active NPI
Michele Rose Wilkerson, ND
- Naturopath
- Roseville, CA
National Provider Identifier
1043476377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- ND-312
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 07-1013 | AZ | MD | Naturopath |
| ND-312 | CA | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revolutions Naturopathic Medical Solutions | Naturopath | Current | 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.
-
- Naturopath
- Folsom, CA
- NPI 1881175388
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.