Active NPI
Cassandra Lea Haak, APRN
- Nurse Practitioner
- Lodi, WI
National Provider Identifier
1285212910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 10508
- Practice address
- W11360 High Point Rd
Lodi, WI 53555-9657 - Phone
- (262) 745-7178
- NPI assigned
- Apr 1, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 10508 | WI | Primary |
Addresses
Primary practice location
W11360 High Point Rd
Lodi, WI 53555-9657
Mailing address
W11360 High Point Rd
Lodi, WI 53555-9657
Phone (262) 745-7178
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10508 | WI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617235200000",
"number": "1285212910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W11360 HIGH POINT RD",
"city": "LODI",
"state": "WI",
"postal_code": "535559657",
"telephone_number": "262-745-7178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W11360 HIGH POINT RD",
"city": "LODI",
"state": "WI",
"postal_code": "535559657",
"telephone_number": "262-745-7178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAAK",
"first_name": "CASSANDRA",
"middle_name": "LEA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-01",
"last_updated": "2021-04-01",
"certification_date": "2021-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "10508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lodi, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.