Individual provider Active NPI

Katelyn Audrey Mendini, DC

  • Chiropractor
  • Bettendorf, IA
National Provider Identifier
1396569612
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
139128 Issued in IA
Practice address
321 17TH St Ste E
Bettendorf, IA 52722-4907
Phone
(563) 265-1842
NPI assigned
Nov 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 139128 IA Primary

Addresses

Primary practice location

321 17TH St Ste E
Bettendorf, IA 52722-4907

Mailing address

321 17TH St Ste E
Bettendorf, IA 52722-4907
Phone (563) 265-1842

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241125001593 IL Practitioner - Chiropractic 7719412972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Eastland Lifestyle CenterGroup PAC ID 0941581532, 3 clinicians

Practice addresses (Care Compare)

2710 E Lincoln St
Bloomington, IL 61704-6010
Phone (309) 662-8418

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03.014211ILMDChiropractor
038014211ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Eastland Lifestyle Center Chiropractor CurrentSince Nov 18, 2024 Accepting new patients

Locations

2710 E Lincoln St
Bloomington, IL 61704
Phone (309) 662-8418

2710 E Lincoln St
Ste A
Bloomington, IL 61704
Phone (309) 662-8418

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": "1731456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1396569612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 17TH ST STE E",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527224907",
            "telephone_number": "563-265-1842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 17TH ST STE E",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527224907",
            "telephone_number": "563-265-1842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDINI",
        "first_name": "KATELYN",
        "middle_name": "AUDREY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-13",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "139128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bettendorf, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.