Individual provider Active NPI

Melanie Katin, DACM, L.AC.

  • Acupuncturist
  • Evanston, IL
National Provider Identifier
1164506580
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
198001356 Issued in IL
Practice address
636 Church St Ste 701
Evanston, IL 60201-6031
Phone
(917) 449-5038
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 198001356 IL Primary

Addresses

Primary practice location

636 Church St Ste 701
Evanston, IL 60201-6031

Mailing address

811 Forest Ave Apt 3N
Evanston, IL 60202-5524
Phone (917) 449-5038

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

LicenseStateTypeSpecialty
198001356ILMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Melanie Katin Acupuncturist CurrentSince Jun 11, 2023 Accepting new patients

Locations

636 Church St
Ste 701
Evanston, IL 60201
Phone (847) 432-8834

1818 Dempster St
Evanston, IL 60202
Phone (773) 407-3663

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1164506580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 FOREST AVE APT 3N",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602025524",
            "telephone_number": "917-449-5038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 CHURCH ST STE 701",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602016031",
            "telephone_number": "917-449-5038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATIN",
        "first_name": "MELANIE",
        "name_prefix": "Ms.",
        "credential": "DACM, L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198001356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.