Philip Hartley

Primary specialty

Health EducatorTaxonomy code 174H00000X

Practice address

1345 Monroe Ave NW Ste 140
Grand Rapids, MI 49505-4609

Phone

(616) 458-9520

NPI assigned

Nov 30, 2018

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543536000000",
    "number": "1134699374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 PROSPECT AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495035341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 MONROE AVE NW STE 140",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495054609",
            "telephone_number": "616-458-9520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTLEY",
        "first_name": "PHILIP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-30",
        "last_updated": "2018-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Ivan Hartig, CRNA
• Kaitlyn Hartl
• James Hartlein
• Zachary Hartley-Blossom, MD
• Allison Hartley
• Ryan Hartley, DMD
• Anthony Hartman
• Kate Hartman, PA-C
• John Hartmann, MD
• Nicholas L Hartog, M.D.

• Health Educator in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Health Educator in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; 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.