Active NPI
Patricia L Engelhardt, L.AC.
- Acupuncturist
- McHenry, IL
National Provider Identifier
1720456692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 198001311
- Practice address
- 2808 W Il Route 120
McHenry, IL 60051-4567 - Phone
- (815) 388-8003
- NPI assigned
- Sep 9, 2015
- 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 | 861-55 | WI | |
| Acupuncturist | 171100000X | 198001311 | IL | Primary |
Addresses
Primary practice location
2808 W Il Route 120
McHenry, IL 60051-4567
Mailing address
2808 W Il Route 120
McHenry, IL 60051-4567
Phone (815) 388-8003
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 |
|---|---|---|---|
| 198001311 | IL | MD | Acupuncturist |
| 861-55 | WI | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469491200000",
"number": "1720456692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2808 W IL ROUTE 120",
"city": "MCHENRY",
"state": "IL",
"postal_code": "600514567",
"telephone_number": "815-388-8003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2808 W IL ROUTE 120",
"city": "MCHENRY",
"state": "IL",
"postal_code": "600514567",
"telephone_number": "815-388-8003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGELHARDT",
"first_name": "PATRICIA",
"middle_name": "L",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-09",
"last_updated": "2016-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WI",
"license": "861-55",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "IL",
"license": "198001311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McHenry, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.