Organization Active NPI

Hackley Hospital Fiscal Services

Doing business as Hackley Nutritional Therapy

  • Registered Dietitian
  • Muskegon, MI
National Provider Identifier
1114973500
Registry record updated Jan 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
HACKLEY HOSPITAL FISCAL SERVICES
Doing business as
Hackley Nutritional Therapy
Practice address
5969 Harvey St
Suite B
Muskegon, MI 49444-8801
Phone
(231) 798-0369
NPI assigned
May 26, 2006
Last updated
Jan 19, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
MERCY HEALTH PARTNERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 19, 2009

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

Authorized official

Name
Michelle Lohman
Title
Dir Phy Network Finan Servi
Phone
(231) 727-4499

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 133V00000X Primary
Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

5969 Harvey St
Suite B
Muskegon, MI 49444-8801

Mailing address

PO Box 1177
Muskegon, MI 49443-1177
Phone (231) 727-4444

Other names 1

  • HACKLEY NUTRITIONAL THERAPY Doing business as

National Provider Directory

National Provider Directory
Part of
Mercy Hosp Muskegon

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 9

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": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232323200000",
    "number": "1114973500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1177",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494431177",
            "telephone_number": "231-727-4444",
            "fax_number": "231-727-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5969 HARVEY ST",
            "address_2": "SUITE B",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494448801",
            "telephone_number": "231-798-0369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACKLEY HOSPITAL FISCAL SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY HEALTH PARTNERS",
        "enumeration_date": "2006-05-26",
        "last_updated": "2009-01-19",
        "status": "A",
        "authorized_official_last_name": "LOHMAN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "DIR PHY NETWORK FINAN SERVI",
        "authorized_official_telephone_number": "231-727-4499"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HACKLEY NUTRITIONAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2009; 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.