Active NPI
Samantha Lotti, LAC
- Acupuncturist
- Oak Park, IL
National Provider Identifier
1649790577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 198001246
- Practice address
- 1119 Pleasant St
Oak Park, IL 60302 - Phone
- (773) 789-7143
- NPI assigned
- Jun 21, 2017
- 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 | 198001246 | IL | Primary |
Addresses
Primary practice location
1119 Pleasant St
Oak Park, IL 60302
Mailing address
1119 Pleasant St
Oak Park, IL 60302-3009
Phone (773) 789-7143
Other practice location 1
1119 Pleasant St
Oak Park, IL 60302
Phone (773) 789-7143
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225416613 | Other | IL | NPI |
| 453780862 | Other | IL | TAX ID |
| 1558894063 | Other | NPI TYPE 2# |
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 |
|---|---|---|---|
| 198001246 | IL | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555632000000",
"number": "1649790577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1119 PLEASANT ST",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603023009",
"telephone_number": "773-789-7143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1119 PLEASANT ST",
"city": "OAK PARK",
"state": "IL",
"postal_code": "60302",
"telephone_number": "773-789-7143"
}
],
"practiceLocations": [
{
"address_1": "1119 Pleasant St",
"address_purpose": "LOCATION",
"city": "Oak Park",
"state": "IL",
"postal_code": "60302",
"country_code": "US",
"telephone_number": "773-789-7143",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOTTI",
"first_name": "SAMANTHA",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-21",
"last_updated": "2019-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "IL",
"license": "198001246",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1225416613",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "453780862",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI TYPE 2#",
"identifier": "1558894063",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.