Active NPI
Elizabeth Lahaie, MSN, BSN, RN
- Pediatric Nurse Practitioner
- Decatur, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 274128
- Practice address
- 2165 N Decatur Rd FL 2
Decatur, GA 30033-5307 - Phone
- (404) 778-8504
- NPI assigned
- Jul 24, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 670896-1 | NY | |
| Neonatal Intensive Care Registered Nurse | 163WN0002X | RN9315157 | FL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | NY | ||
| Pediatric Nurse Practitioner | 363LP0200X | 274128 | GA | Primary |
Addresses
Primary practice location
2165 N Decatur Rd FL 2
Decatur, GA 30033-5307
Mailing address
200 N Highland Ave NE Unit 303
Atlanta, GA 30307-5624
Other practice location 1
370 W 30th St Apt 12D
New York, NY 10001-2771
Phone (904) 710-7274
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2015 Uppergate Dr NE
Atlanta, GA 30322-1014
Phone (404) 785-2000
Hospital & facility affiliations
- Athur M Blank Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor on Science - Nursing, Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 670896-1 | NY | MD | Registered Nurse |
| RN9315157 | FL | MD | Neonatal Intensive Care Registered Nurse |
| 274128 | GA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choa Multispecialty, LLC | Pediatrics | Current | Accepting new patients |
| Choa Hospital Based, LLC | Pediatrics | Current | Accepting new patients |
| Egleston Pediatric Group | Pediatrics | Current | Accepting new patients |
Locations
1405 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 785-1112
2015 Upper Gate Dr NE
Atlanta, GA 30322
Phone (404) 778-2400
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Brookhaven, GA
- NPI 1437493467
-
- Pediatrics Physician
- Brookhaven, GA
- NPI 1457695488
-
- Pediatrics Physician
- Atlanta, GA
- NPI 1811041452
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Atlanta, GA
- NPI 1689744450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1124436944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 N HIGHLAND AVE NE UNIT 303",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303075624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2165 N DECATUR RD FL 2",
"city": "DECATUR",
"state": "GA",
"postal_code": "300335307",
"telephone_number": "404-778-8504"
}
],
"practiceLocations": [
{
"address_1": "370 W 30th St Apt 12D",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100012771",
"country_code": "US",
"telephone_number": "904-710-7274",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAHAIE",
"first_name": "ELIZABETH",
"credential": "MSN, BSN, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-24",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "670896-1",
"primary": false
},
{
"code": "163WN0002X",
"taxonomy_group": "",
"desc": "Registered Nurse, Neonatal Intensive Care",
"state": "FL",
"license": "RN9315157",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "GA",
"license": "274128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.