Individual provider Active NPI

Katlin Melissa Lakota

  • Family Nurse Practitioner
  • Crystal Lake, IL
National Provider Identifier
1487573937
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.036042 Issued in IL
Practice address
781 S McHenry Ave Ste D
Crystal Lake, IL 60014-7444
Phone
(815) 459-2200
NPI assigned
Jul 10, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.036042 IL Primary

Addresses

Primary practice location

781 S McHenry Ave Ste D
Crystal Lake, IL 60014-7444

Mailing address

781 S McHenry Ave Ste D
Crystal Lake, IL 60014-7444
Phone (815) 459-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation Past Accepting new patients

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": "1783641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1487573937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "781 S MCHENRY AVE STE D",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147444",
            "telephone_number": "815-459-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 S MCHENRY AVE STE D",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147444",
            "telephone_number": "815-459-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKOTA",
        "first_name": "KATLIN",
        "middle_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-10",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.036042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

Verify at the official NPI Registry.