Tommi Elizabeth Haidet

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

LE-00027267 Issued in OH

Practice address

12080 Easton St NE
Alliance, OH 44601-9423

Phone

(330) 257-4594

NPI assigned

Feb 15, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Comprehensive Pain Care Center, Inc

  • Specialist
  • Lorain, OH
  • NPI 1124095112
  Medicare reassignment NPD
• Mercy Professional Care, LLC

  • Internal Medicine Physician
  • Canton, OH
  • NPI 1902827876
  Medicare reassignment NPD

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

{
    "created_epoch": "1550188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550188800000",
    "number": "1043776818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12080 EASTON ST NE",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446019423",
            "telephone_number": "330-257-4594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12080 EASTON ST NE",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446019423",
            "telephone_number": "330-257-4594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIDET",
        "first_name": "TOMMI",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-15",
        "last_updated": "2019-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "LE-00027267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael G Grimes, MD
• Todd Grisez, RPH
• Marcelina Marie Grodhaus, MS, ATC
• Alexis Gross
• Megan Gustaevel, ATC
• Germaine Hairston
• Jennifer L Hall, L.P.N.
• Florence Marie Hallett
• Justin Samuel Hamsher
• Leslie D Hanan, RN

• Family Nurse Practitioner in Alliance, OH
• Providers in Alliance, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.