Julieanne Cyhaniuk Wilson, REGISTERED DIETITIAN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86079631

Practice address

12462 Putnam St Ste 3030
Whittier, CA 90602-1048

Phone

(562) 698-0811

Fax

(562) 789-4335

NPI assigned

May 18, 2020

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

Other names 1

• Julie Anne Cyhaniuk Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1184247736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10418 BOGARDUS AVE UNIT 2",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906032600",
            "telephone_number": "909-731-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12462 PUTNAM ST STE 3030",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906021048",
            "telephone_number": "562-698-0811",
            "fax_number": "562-789-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JULIEANNE",
        "middle_name": "CYHANIUK",
        "credential": "REGISTERED DIETITIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-18",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86079631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "CYHANIUK",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michelle D Williamson, RN, NP
• Willow Creek Care LLC
• Willy Singh DO Inc
• Chiara Alaena Nicole Wilridge
• James Sanford Wilson, CCAPP
• Lynn Edward Wilson, M.D.
• Mandi Lynn Wilson, D.D.S.
• Pandora Kim Wilson, D.O.
• Cha'R M Wiltshire
• Shaylah Winder, SLPA

• Registered Dietitian in Whittier, CA
• Providers in Whittier, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; 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.