Individual provider Active NPI

Lisa Marie Fields, CNM

  • Advanced Practice Midwife
  • Detroit, MI
National Provider Identifier
1215429485
Registry record updated Jun 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
4704265378 Issued in MI
Practice address
3990 John R St
Detroit, MI 48201-2018
Phone
(313) 993-4021
Fax
(313) 993-4089
NPI assigned
Jun 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 4704265378 MI Primary

Addresses

Primary practice location

3990 John R St
Detroit, MI 48201-2018

Mailing address

2120 Timber Ridge CT
Highland, MI 48357-4310
Phone (248) 685-0383

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180918003535 MI Practitioner - Certified Nurse Midwife (CNM) 9234480088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Physician GroupGroup PAC ID 8628087681, 399 clinicians

Practice addresses (Care Compare)

3990 John R St
Detroit, MI 48201-2018
Phone (313) 745-8040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
4704265378MIMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
University Physician Group CurrentSince Aug 8, 2018 Accepting new patients
University Physician Group Past Accepting new patients
VHS Harper-Hutzel Hospital Inc Past Accepting new patients

Locations

5250 Auto Club Dr
Ste 290A
Dearborn, MI 48126
Phone (313) 448-9220

3990 John R St
Ste 4240
Detroit, MI 48201
Phone (248) 556-6428

3990 John R St
Detroit, MI 48201
Phone (313) 745-6211

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

3990 John R St
#7
Detroit, MI 48201
Phone (313) 745-7555

400 Mack Ave
Detroit, MI 48201
Phone (313) 448-9006

Interoperability endpoints

  • Direct secure messaging: lisa.fields.1@19711.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528070400000",
    "number": "1215429485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 TIMBER RIDGE CT",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "483574310",
            "telephone_number": "248-685-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 JOHN R ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012018",
            "telephone_number": "313-993-4021",
            "fax_number": "313-993-4089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-04",
        "last_updated": "2018-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MI",
            "license": "4704265378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.