Active NPI
Evie Katahdin, ND, LAC
- Naturopath
- Newport Beach, CA
National Provider Identifier
1710151915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- ND 33
- Practice address
- 4121 Westerly PL
Suite 102
Newport Beach, CA 92660-2322 - Phone
- (949) 660-1399
- Fax
- (949) 660-1333
- NPI assigned
- Apr 17, 2008
- Last updated
- Apr 17, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC 9988 | CA | |
| Naturopath | 175F00000X | ND 33 | CA | Primary |
Addresses
Primary practice location
4121 Westerly PL
Suite 102
Newport Beach, CA 92660-2322
Mailing address
4121 Westerly PL
Suite 102
Newport Beach, CA 92660-2322
Phone (949) 660-1399
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 |
|---|---|---|---|
| AC 9988 | CA | MD | Acupuncturist |
| ND 33 | CA | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208390400000",
"number": "1710151915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4121 WESTERLY PL",
"address_2": "SUITE 102",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926602322",
"telephone_number": "949-660-1399",
"fax_number": "949-660-1333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4121 WESTERLY PL",
"address_2": "SUITE 102",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926602322",
"telephone_number": "949-660-1399",
"fax_number": "949-660-1333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATAHDIN",
"first_name": "EVIE",
"name_prefix": "Dr.",
"credential": "ND, LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-17",
"last_updated": "2008-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 9988",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CA",
"license": "ND 33",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
- Kashif Yaqub MD Inc (Key MD Newport Beach)
- Sharon Rogers Kashkouli, LPC
- Kasper Family Therapy, Inc, (Healing Point Counseling & Wellness Center)
- Shabnam Sasha Kassai, PSY.D.
- Hafiz Feezer Kassam, MD
- Katayoun Sahafi DDS Professional Corp
- Katerina Kurteeva Inc
- Katerina Kurteeva MD Inc (California Eye Associates)
- Katherine Shachar, PH..D., Inc.
- Kathleen P Hutton MD Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.