Lisa Michele Halpern, APRN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

003385 Issued in CT

Practice address

1260 Silas Deane Hwy
Hartford Hospital Neurology Dept
Wethersfield, CT 06109

Phone

(860) 696-2820

NPI assigned

Mar 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1033178132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 SILAS DEANE HWY",
            "address_2": "HARTFORD HOSPITAL NEUROLOGY DEPT",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094362",
            "telephone_number": "860-696-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 SILAS DEANE HWY",
            "address_2": "HARTFORD HOSPITAL NEUROLOGY DEPT",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "06109",
            "telephone_number": "860-696-2820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Retreat Avenue",
            "address_2": "Hartford Hospital Psychiatry Dept",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061063309",
            "country_code": "US",
            "telephone_number": "860-545-7550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALPERN",
        "first_name": "LISA",
        "middle_name": "MICHELE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CT",
            "license": "003385",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "003385",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004033858",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "500001785",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "D400085831",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "D400085832",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassandra Y Gryczewski, ACAGNP
• Lisa Michele Gulino, LISA GULINO
• Thomas John Gworer, DMD
• Bryan Habif, LCSW
• Mara M Hallisey I, LMFT
• Tara Anne Halpin, AGACNP
• Harford Clinical Associates, PC
• Harmony of Change LLC
• Hartford Healthcare at Home, Inc
• Hartford Healthcare at Home, Inc

• Gerontology Nurse Practitioner in Wethersfield, CT
• Providers in Wethersfield, CT by specialty
• Gerontology Nurse Practitioner in Connecticut

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

Verify at the official NPI Registry.