Individual provider Active NPI

Renee Michelle Nikula, D.C.

  • Chiropractor
  • Roseville, CA
National Provider Identifier
1679698096
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC28585 Issued in CA
Practice address
401 Vernon St Suite B
Roseville, CA 95678-2600
Phone
(916) 284-0091
Fax
(916) 485-2347
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC28585 CA Primary

Addresses

Primary practice location

401 Vernon St Suite B
Roseville, CA 95678-2600

Mailing address

755 Crosswind Dr
Sacramento, CA 95838-2253
Phone (916) 284-0091

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040312001039 CA Practitioner - Chiropractic 2466341805 Practice locations: Roseville, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

401 Vernon St
Suite B
Roseville, CA 95678-2600
Phone (916) 284-0091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC28585CAMDChiropractor
28585CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1679698096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 CROSSWIND DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958382253",
            "telephone_number": "916-284-0091",
            "fax_number": "916-485-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 VERNON ST SUITE B",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956782600",
            "telephone_number": "916-284-0091",
            "fax_number": "916-485-2347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKULA",
        "first_name": "RENEE",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.