Individual provider Active NPI

Katherine M Bartelt, L. AC

  • Acupuncturist
  • Woodbury, MN
National Provider Identifier
1235467697
Registry record updated Nov 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1387 Issued in MN
Practice address
2165 Woodlane Dr
102
Woodbury, MN 55125-2915
Phone
(651) 356-9160
Fax
(651) 389-5950
NPI assigned
Nov 24, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 1387 MN Primary
Acupuncturist 171100000X 520055 WI

Addresses

Primary practice location

2165 Woodlane Dr
102
Woodbury, MN 55125-2915

Mailing address

212 N Cudd Ave
River Falls, WI 54022-2530
Phone (715) 377-7377

Other names 1

  • Ms. Katherine M Bartelt Professional 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

State licenses

LicenseStateTypeSpecialty
520055WIMDAcupuncturist
1387MNMDCertified Registered Nurse Anesthetist

NPI Registry JSON

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259020800000",
    "number": "1235467697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 N CUDD AVE",
            "city": "RIVER FALLS",
            "state": "WI",
            "postal_code": "540222530",
            "telephone_number": "715-377-7377",
            "fax_number": "651-389-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2165 WOODLANE DR",
            "address_2": "102",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252915",
            "telephone_number": "651-356-9160",
            "fax_number": "651-389-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTELT",
        "first_name": "KATHERINE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "L. AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-24",
        "last_updated": "2009-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "1387",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "520055",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "BARTELT",
            "middle_name": "M",
            "prefix": "MS.",
            "credential": "L. AC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; 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.