Individual provider Active NPI

Lisa Marie Hash, AGNP-BC

  • Nurse Practitioner
  • Armada, MI
National Provider Identifier
1174397186
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704336724 Issued in MI
Practice address
23465 E Main St
Armada, MI 48005-4863
Phone
(586) 859-1443
NPI assigned
Nov 9, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 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 4704336724 MI Primary

Addresses

Primary practice location

23465 E Main St
Armada, MI 48005-4863

Mailing address

23465 E Main St
Armada, MI 48005-4863
Phone (586) 859-1443

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
I20240307000930 MI Practitioner - Nurse Practitioner 4789020249 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Port Huron Internal Medicine Associates CurrentSince Feb 20, 2024 Accepting new patients
Port Huron Internal Medicine PastSince Feb 20, 2024 Accepting new patients

Locations

2540 16th St
Port Huron, MI 48060
Phone (810) 987-1000

Interoperability endpoints

  • Direct secure messaging: lisa.hash.p1@direct.phim.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1174397186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23465 E MAIN ST",
            "city": "ARMADA",
            "state": "MI",
            "postal_code": "480054863",
            "telephone_number": "586-859-1443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23465 E MAIN ST",
            "city": "ARMADA",
            "state": "MI",
            "postal_code": "480054863",
            "telephone_number": "586-859-1443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASH",
        "first_name": "LISA MARIE",
        "credential": "AGNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-09",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704336724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Armada, MI

Sources for this page

Verify at the official NPI Registry.