Juliet Haataja, RN, MSN, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95003968 Issued in CA

Practice address

2868 Prospect Park Dr Ste 100
Rancho Cordova, CA 95670-6065

Phone

(916) 388-3532

Fax

(916) 388-3533

NPI assigned

Apr 26, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

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.

• Caremore Health Plan

  • Family Nurse Practitioner
  • Apple Valley, CA
  • NPI 1639542194
  NPD (past)

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1497100549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12900 PARK PLAZA DR STE 150",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907039329",
            "telephone_number": "562-977-4639",
            "fax_number": "562-741-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2868 PROSPECT PARK DR STE 100",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956706065",
            "telephone_number": "916-388-3532",
            "fax_number": "916-388-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAATAJA",
        "first_name": "JULIET",
        "credential": "RN, MSN, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-26",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95003968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vasudha Gupta, PHARMD
• Alberto Gutierrez
• Natalia Susana Guzman
• GV Partners, LLC
• Sarah Michele Gwinn, M.S., CCC-SLP
• John Bradley Hackert, MD
• David M Haddad, PHARM-D
• Robert Haddad
• Christie Hall, PHARMD
• Jackson Hall

• Family Nurse Practitioner in Rancho Cordova, CA
• Providers in Rancho Cordova, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; 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.