Individual provider Active NPI

Lauren Hado, FNP-BC

  • Nurse Practitioner
  • Southfield, MI
National Provider Identifier
1053142505
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704389845 Issued in MI
Practice address
18000 W 9 Mile Rd
Southfield, MI 48075-4009
Phone
(313) 369-1500
NPI assigned
Aug 8, 2024
Last updated
Aug 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704389845 MI Primary

Addresses

Primary practice location

18000 W 9 Mile Rd
Southfield, MI 48075-4009

Mailing address

2704 Wyncliff CT
Walled Lake, MI 48390-5487
Phone (248) 880-2924

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20240909004301 MI Practitioner - Nurse Practitioner 0749720464 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Faith Internal Medicine PLLCGroup PAC ID 3779959127, 2 clinicians

Practice addresses (Care Compare)

15645 Farmington Rd
Suite a
Livonia, MI 48154-2851
Phone (734) 464-7600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Faith Internal Medicine PLLC CurrentSince May 1, 2025 Accepting new patients
Faith Urgent Care PLLC CurrentSince May 1, 2025 Accepting new patients

Locations

15645 Farmington Rd
Ste A
Livonia, MI 48154
Phone (734) 464-7600

15645 Farmington Rd
Ste B
Livonia, MI 48154
Phone (734) 464-7600

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1053142505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 WYNCLIFF CT",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483905487",
            "telephone_number": "248-880-2924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18000 W 9 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754009",
            "telephone_number": "313-369-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADO",
        "first_name": "LAUREN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704389845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.