Individual provider Active NPI

Susan Hillary Mykita, RN, NP

  • Women's Health Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1689740722
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
NP7781 Issued in CA
Practice address
4700 College Oak Dr
American River College
Sacramento, CA 95841-4217
Phone
(916) 484-8383
Fax
(916) 484-8759
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
College Health Registered Nurse 163WC1400X RN293133 CA
Women's Health Nurse Practitioner 363LW0102X NP7781 CA Primary

Addresses

Primary practice location

4700 College Oak Dr
American River College
Sacramento, CA 95841-4217

Mailing address

1691 The Alameda
San Jose, CA 95126-2203
Phone (408) 287-7532

Other names 1

  • Miss Susan Hillary Brown Former name

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
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN293133CAMDCollege Health Registered Nurse
NP7781CAMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1689740722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1691 THE ALAMEDA",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262203",
            "telephone_number": "408-287-7532",
            "fax_number": "408-287-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 COLLEGE OAK DR",
            "address_2": "AMERICAN RIVER COLLEGE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958414217",
            "telephone_number": "916-484-8383",
            "fax_number": "916-484-8759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYKITA",
        "first_name": "SUSAN",
        "middle_name": "HILLARY",
        "name_prefix": "Mrs.",
        "credential": "RN, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, College Health",
            "state": "CA",
            "license": "RN293133",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "NP7781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "BROWN",
            "middle_name": "HILLARY",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.