Natasha Mikitiuk

Primary specialty

NutritionistTaxonomy code 133N00000X

Practice address

6805 Five Star Blvd Ste 100
Rocklin, CA 95677-4135

Phone

(916) 624-4959

Fax

(916) 624-3351

NPI assigned

Nov 15, 2012

Last updated

Nov 15, 2012By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Roseville Urology, Inc.

  • Urology Physician
  • Roseville, CA
  • NPI 1871822072
  NPD (past)

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1629312798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6805 FIVE STAR BLVD STE 100",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956774135",
            "telephone_number": "916-624-4959",
            "fax_number": "916-624-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6805 FIVE STAR BLVD STE 100",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956774135",
            "telephone_number": "916-624-4959",
            "fax_number": "916-624-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKITIUK",
        "first_name": "NATASHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joe Alex Merchan, PA-C
• Katherine Anne Merold, O.T.R.
• Jacquelin Meza
• Michael K Laidlaw MD, Inc.
• Milena Micu, RN
• Milestone Physical Therapy
• Denyce Miller
• Julie Cryan Miller
• Kaitlynn Celeste Miller
• Lynda M Miller, BA

• Nutritionist in Rocklin, CA
• Providers in Rocklin, CA by specialty
• Nutritionist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.