Active NPI
Nikki Myres
- Marriage & Family Therapist
- Sacramento, CA
National Provider Identifier
1740489657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- IMF 49378
- Practice address
- 5777 Madison Ave
240
Sacramento, CA 95841-3315 - Phone
- (916) 344-0964
- NPI assigned
- Jul 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF 49378 | CA | Primary |
Addresses
Primary practice location
5777 Madison Ave
240
Sacramento, CA 95841-3315
Mailing address
1100 17TH St # 203
Sacramento, CA 95811-4014
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000008146 | Other | CA | MEDI CAL PROVIDER NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF 49378 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184198400000",
"number": "1740489657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 17TH ST # 203",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958114014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5777 MADISON AVE",
"address_2": "240",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958413315",
"telephone_number": "916-344-0964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYRES",
"first_name": "NIKKI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-12",
"last_updated": "2007-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF 49378",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI CAL PROVIDER NUMBER",
"identifier": "000008146",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}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 12, 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.