Individual provider Active NPI

Lanniece F Hall, MD

  • Obstetrics & Gynecology Physician
  • Bethlehem, PA
National Provider Identifier
1326091992
Registry record updated Sep 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD443998 Issued in PA
Practice address
623 W Union Blvd
Suite 5
Bethlehem, PA 18018-3708
Phone
(610) 868-0104
Fax
(610) 868-0204
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MA08051900 NJ
Obstetrics & Gynecology Physician 207V00000X MD443998 PA Primary

Addresses

Primary practice location

623 W Union Blvd
Suite 5
Bethlehem, PA 18018-3708

Mailing address

623 W Union Blvd
Suite 5
Bethlehem, PA 18018-3708
Phone (610) 868-0104

Other identifiers 1

IdentifierTypeStateIssuer
0106135MedicaidNJ

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD443998PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeline Medical Associates, LLC Obstetrics & Gynecology PastSince Feb 1, 2020 Accepting new patients
Echenberg Institute for Pelvic and Sexual Pain Past Accepting new patients
Robert J Echenberg MD Womens Health Pelvic Pain & Sexual Wellness PC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314835200000",
    "number": "1326091992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 W UNION BLVD",
            "address_2": "SUITE 5",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180183708",
            "telephone_number": "610-868-0104",
            "fax_number": "610-868-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 W UNION BLVD",
            "address_2": "SUITE 5",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180183708",
            "telephone_number": "610-868-0104",
            "fax_number": "610-868-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "LANNIECE",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2011-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA08051900",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD443998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0106135",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; 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.