NPIMap

Organization Active NPI

Michelle Haas

  • Family Nurse Practitioner
  • Wauseon, OH
National Provider Identifier
1073984993
Registry record updated Nov 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18217 Issued in OH
Legal business name
MICHELLE HAAS
Practice address
1190 N Shoop Ave
Wauseon, OH 43567-2224
Phone
(419) 335-4601
Fax
(419) 335-4900
NPI assigned
Oct 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2015

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

Authorized official

Name
Lauren M Hefner
Title
Billing Manager
Phone
(419) 866-7162

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 18217 OH Primary

Addresses

Primary practice location

1190 N Shoop Ave
Wauseon, OH 43567-2224

Mailing address

PO Box 351328
Toledo, OH 43635-1328
Phone (419) 335-4600

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448841600000",
    "number": "1073984993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 351328",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436351328",
            "telephone_number": "419-335-4600",
            "fax_number": "419-335-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 N SHOOP AVE",
            "city": "WAUSEON",
            "state": "OH",
            "postal_code": "435672224",
            "telephone_number": "419-335-4601",
            "fax_number": "419-335-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE HAAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-19",
        "last_updated": "2015-11-30",
        "status": "A",
        "authorized_official_last_name": "HEFNER",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "419-866-7162"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "18217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauseon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2015; 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.