Brielle Lorraine Haupt, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704321787 Issued in MI

Practice address

41424 Ann Arbor Rd E
Plymouth, MI 48170-8005

Phone

(734) 206-7725

NPI assigned

Jan 4, 2022

Sex

Female

Sole proprietor

No

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

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1366103145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6427 GRAND CIRCLE DR",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481169419",
            "telephone_number": "810-599-0748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41424 ANN ARBOR RD E",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481708005",
            "telephone_number": "734-206-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUPT",
        "first_name": "BRIELLE",
        "middle_name": "LORRAINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704321787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Imauni Harvey-Wahid
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• Lillian Hasselman, OTR/L
• Aubrey Hausig
• Haven Eeoi Holdings LLC
• Haven HHC Mi LLC
• Haven Home Health Care, LLC
• Haven Hospice Mi, LLC

• Family Nurse Practitioner in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.