Individual provider Active NPI

Denise Ardythe Tarasuk, R.N. N.D.

  • Naturopath
  • Campbell, CA
National Provider Identifier
1396878278
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
ND-127 Issued in CA
Practice address
51 E Campbell Ave
Suite 108F
Campbell, CA 95008-2047
Phone
(408) 370-5291
Fax
(408) 370-5293
NPI assigned
Mar 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X ND-127 CA Primary

Addresses

Primary practice location

51 E Campbell Ave
Suite 108F
Campbell, CA 95008-2047

Mailing address

51 E Campbell Ave
Suite 108F
Campbell, CA 95008-2047
Phone (408) 370-5291

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
ND-127CAMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396878278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 E CAMPBELL AVE",
            "address_2": "SUITE 108F",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082047",
            "telephone_number": "408-370-5291",
            "fax_number": "408-370-5293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 E CAMPBELL AVE",
            "address_2": "SUITE 108F",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082047",
            "telephone_number": "408-370-5291",
            "fax_number": "408-370-5293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARASUK",
        "first_name": "DENISE",
        "middle_name": "ARDYTHE",
        "name_prefix": "Dr.",
        "credential": "R.N. N.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CA",
            "license": "ND-127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

  • 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.