Individual provider Active NPI

Suzi Katlin, L.AC,RN

  • Acupuncturist
  • Northfield, IL
National Provider Identifier
1720586373
Registry record updated Jan 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
198.001374 Issued in IL
Practice address
2121 Middlefork Rd
Northfield, IL 60093-1120
Phone
(847) 612-5101
NPI assigned
Jan 29, 2018
Last updated
Jan 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041.249206 IL
Acupuncturist 171100000X 198.001374 IL Primary

Addresses

Primary practice location

2121 Middlefork Rd
Northfield, IL 60093-1120

Mailing address

2121 Middlefork Rd
Northfield, IL 60093-1120
Phone (847) 612-5101

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
041.249206ILMDRegistered Nurse
198.001374ILMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517184000000",
    "number": "1720586373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 MIDDLEFORK RD",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600931120",
            "telephone_number": "847-612-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 MIDDLEFORK RD",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600931120",
            "telephone_number": "847-612-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATLIN",
        "first_name": "SUZI",
        "credential": "L.AC,RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-29",
        "last_updated": "2018-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.249206",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198.001374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; 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.