Individual provider Active NPI

Michelle Tobin

  • Acupuncturist
  • Fortuna, CA
National Provider Identifier
1619178498
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC14768 Issued in CA
Practice address
927 Main St
Fortuna, CA 95540-2006
Phone
(707) 601-7595
NPI assigned
May 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC14768 CA Primary

Addresses

Primary practice location

927 Main St
Fortuna, CA 95540-2006

Mailing address

219 Ackerman LN
Carlotta, CA 95528-9648
Phone (707) 601-7595

Other practice location 1

101 West Coast Rd
Redway, CA 95560-0769
Phone (707) 923-2783

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
AC14768CAMDAcupuncturist

Interoperability endpoints

  • Direct secure messaging: michelle.tobin.p1@direct.rrhc.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1619178498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 ACKERMAN LN",
            "city": "CARLOTTA",
            "state": "CA",
            "postal_code": "955289648",
            "telephone_number": "707-601-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 MAIN ST",
            "city": "FORTUNA",
            "state": "CA",
            "postal_code": "955402006",
            "telephone_number": "707-601-7595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 West Coast Rd",
            "address_purpose": "LOCATION",
            "city": "Redway",
            "state": "CA",
            "postal_code": "955600769",
            "country_code": "US",
            "telephone_number": "707-923-2783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOBIN",
        "first_name": "MICHELLE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2025-09-11",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC14768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fortuna, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.