TATYANA VINNICHUK (NPI# 1285106476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285106476 |
| Entity Type | Individual |
| Full Name | TATYANA VINNICHUK |
| Practice Address |
1600 Eureka Rd Roseville CA 95661-3027 |
| Mailing Address |
1288 Grand Junction Way Roseville CA 95747-9285 |
| Practice Telephone | 9168786364 |
| Mailing Telephone | 9168786364 |
| Enumeration Date | 2018-12-28 |
| Last Update Date | 2018-12-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235500000X | Specialist/Technologist | 23507 | CA | Speech, Language and Hearing Service Providers |
| Street Address |
1600 EUREKA RD |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-3027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851393524 | Lianna Marie Edwards | Nurse Practitioner | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2005-08-12 |
| 1659983138 | Armaan Sahota | Pharmacist | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2020-08-17 |
| 1356953970 | Jenny Ear | Pharmacist | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2020-08-17 |
| 1447868773 | Courtney L Kerstetter | Physical Therapist | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2020-07-22 |
| 1982221321 | Diane Leszczynski | Dietitian, Registered | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2020-07-01 |
| 1114554409 | Ascension Thiele-ruiz | Registered Nurse | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2020-03-25 |
| 1184264582 | Amandeep Singh Raikhy | Pharmacist | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2020-01-14 |
| 1508405481 | Mung Huynh | Pharmacist | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2019-12-25 |
| 1063059319 | Cecille Truong | Pharmacist | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2019-12-05 |
| 1952943748 | Kayli Scanlon | Dietitian, Registered | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2019-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| Taxonomy Code | 235500000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407471550 | Vital Connect, Inc | Specialist/Technologist | 224 Airport Pkwy Ste 300, San Jose, CA 95110-1022 | 2020-06-15 |
| 1528601457 | Deepa Thomas | Specialist/Technologist | 978 S Shields Ave, Mountain House, CA 95391-1375 | 2019-10-23 |
| 1184188476 | Katherine Marie Carroll | Specialist/Technologist | 1731 B Buchanan Street, San Francisco, CA 94115 | 2019-01-30 |
| 1528536281 | Roxanne C Whitney | Specialist/Technologist | 2540 Country Hills Rd Apt 280, Brea, CA 92821-4647 | 2018-11-10 |
| 1437685971 | Victoria Deasy | Specialist/Technologist | 803 1/2 Juno Ln, Foster City, CA 94404-2813 | 2017-05-03 |
| 1801330329 | Jayme L Mcleish | Specialist/Technologist | 17834 Canehill Ave, Bellflower, CA 90706-7151 | 2016-12-19 |
| 1891186581 | Kanwaljeet Kaur | Specialist/Technologist | 3816 Cinnamon Ct, Bakersfield, CA 93309-6255 | 2015-02-17 |
| 1336580547 | Suzanne Moore Welty | Specialist/Technologist | 160 S Old Springs Rd Ste 100, Anaheim, CA 92808-1230 | 2013-07-16 |
| 1386983401 | Jim Kalafat | Specialist/Technologist | 508 Dahlia Ave, Corona Del Mar, CA 92625-2105 | 2013-02-08 |
| 1538406624 | Rachel A. M. Weichert | Specialist/Technologist | 3702 Ruffin Rd Ste 100, San Diego, CA 92123-1893 | 2013-01-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.