Patti Kibatullin, LA.C, MSAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

005760 Issued in NY

Practice address

572 Grand St Apt G902
New York, NY 10002-2987

Phone

(646) 345-7378

NPI assigned

Sep 29, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1215486477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 GRAND ST APT 902",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100022987",
            "telephone_number": "646-345-7378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 GRAND ST APT G902",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100022987",
            "telephone_number": "646-345-7378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIBATULLIN",
        "first_name": "PATTI",
        "credential": "LA.C, MSAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-29",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "005760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farideh Kia, DDS
• Farnaaz Kia, MD
• Nina Kiani
• Nazanin Kianinejad, MD
• Nazanin Kiapour, MD
• Emily Tow Kiberd, DC
• Andrew Russo Kibert, M.D.
• Brian Kibler
• Harper Kibler, MD
• Susan Kice, MS, RD, CDN

• Acupuncturist in New York, NY
• Providers in New York, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.