Active NPI
Katelyn Ruth Michals, L.AC.
- Acupuncturist
- Glendale, WI
National Provider Identifier
1376826214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 742-55
- Practice address
- 4650 N Port Washington Rd Ste 330
Glendale, WI 53212-1077 - Phone
- (414) 839-4349
- NPI assigned
- Sep 27, 2011
- Last updated
- Sep 26, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 742-55 | WI | Primary |
Addresses
Primary practice location
4650 N Port Washington Rd Ste 330
Glendale, WI 53212-1077
Mailing address
4650 N Port Washington Rd Ste 320
Glendale, WI 53212-1077
Phone (414) 839-4349
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 |
|---|---|---|---|
| 742-55 | WI | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Company - Greenfield West LLC | Past | Accepting new patients | |
| Hruby Chiropractic Wellness S.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Chiropractic Company - Hales Corners
- Chiropractor
- Hales Corners, WI
- NPI 1083660625
-
- Chiropractor
- West Allis, WI
- NPI 1477613438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695686400000",
"number": "1376826214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4650 N PORT WASHINGTON RD STE 320",
"city": "GLENDALE",
"state": "WI",
"postal_code": "532121077",
"telephone_number": "414-839-4349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4650 N PORT WASHINGTON RD STE 330",
"city": "GLENDALE",
"state": "WI",
"postal_code": "532121077",
"telephone_number": "414-839-4349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHALS",
"first_name": "KATELYN",
"middle_name": "RUTH",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-27",
"last_updated": "2023-09-26",
"certification_date": "2023-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WI",
"license": "742-55",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, WI
- Nancy L Megan, MD
- David William Meister, M.D.
- Lakisha Metcalf, PEER SPECIALIST
- Patricia Meyer Chan, PH.D.
- Courtney F Meyer, FNP
- Austin Hugh Middleton, MD
- Donald Kevin Middleton, MD
- Midwest Dialysis Center, Inc (Midwest Dialysis Center-Glendale Branch)
- Midwest Interventional Pain and Diagnostics
- Midwest Spine Center SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.