Individual provider Active NPI

Nanci Miklowski, N.D.

  • Naturopath
  • Fair Oaks, CA
National Provider Identifier
1073983839
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
ND1207 Issued in CA
Practice address
9801 Fair Oaks Blvd Ste 400
Fair Oaks, CA 95628-7051
Phone
(216) 765-3221
Fax
(216) 400-5757
NPI assigned
Oct 5, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 6045-170 WI
Naturopath 175F00000X 1155 MN
Naturopath 175F00000X ND1207 CA Primary

Addresses

Primary practice location

9801 Fair Oaks Blvd Ste 400
Fair Oaks, CA 95628-7051

Mailing address

PO Box 513
Novelty, OH 44072-0513
Phone (216) 765-3221

Other practice location 1

4748 Chicago Ave
Minneapolis, MN 55407-4310
Phone (612) 440-7710

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
1155MNMDMarriage & Family Therapist
ND1207CAMDNaturopath
6045-170WIMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1073983839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 513",
            "city": "NOVELTY",
            "state": "OH",
            "postal_code": "440720513",
            "telephone_number": "216-765-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9801 FAIR OAKS BLVD STE 400",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956287051",
            "telephone_number": "216-765-3221",
            "fax_number": "216-400-5757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4748 Chicago Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554074310",
            "country_code": "US",
            "telephone_number": "612-440-7710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIKLOWSKI",
        "first_name": "NANCI",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-05",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WI",
            "license": "6045-170",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "MN",
            "license": "1155",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CA",
            "license": "ND1207",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 13, 2025; 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.