Individual provider Active NPI

Lisa Shea Allred, MD

  • Neonatal-Perinatal Medicine Physician
  • Kalamazoo, MI
National Provider Identifier
1386716223
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
4301081901 Issued in MI
Practice address
601 John St Ste 351
Kalamazoo, MI 49007-5341
Phone
(269) 341-6469
NPI assigned
Nov 15, 2006
Last updated
Aug 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 4301081901 MI Primary

Addresses

Primary practice location

601 John St Ste 351
Kalamazoo, MI 49007-5341

Mailing address

601 John St
Southwestern Michigan Neonatology
Kalamazoo, MI 49007-5341
Phone (269) 341-6469

Other practice location 1

829 N Center Ave Ste 140
Gaylord, MI 49735-1598
Phone (989) 731-7870

Other practice location 2

1100 E Michigan Ave
Grayling, MI 49738-1312
Phone (989) 348-5461

Other practice location 3

14700 Lake Shore Dr
Charlevoix, MI 49720-1931
Phone (231) 547-4024

Other practice location 4

106 S Madison St
Traverse City, MI 49684-2320
Phone (231) 935-6650

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address LALLRED@direct.mhc.net
Direct Messaging Address direct@direct.bronsonhg.org Direct Bronson HealthCare Group

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061219000510 MI Practitioner - Pediatric Medicine 0042219149 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Medical Center Current Accepting new patients
Bronson Battle Creek Hospital CurrentSince Aug 8, 2022 Accepting new patients
Munson Healthcare Grayling CurrentSince Nov 1, 2019 Accepting new patients
Munson Healthcare Otsego Memorial Hospital Current Accepting new patients
Munson Healthcare Charlevoix Hospital Pediatrics Current Accepting new patients
Munson Healthcare Charlevoix Hospital CurrentSince Nov 1, 2019 Accepting new patients
Bronson Methodist Hospital CurrentSince Aug 8, 2022 Accepting new patients
Munson Healthcare Grayling CurrentSince Nov 1, 2019 Accepting new patients
Munson Medical Center Neonatal-Perinatal Medicine CurrentSince May 1, 2018 Accepting new patients
Munson Healthcare Grayling Current Accepting new patients
Bronson Battle Creek Hospital CurrentSince Aug 8, 2022 Accepting new patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Nov 1, 2019 Accepting new patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Nov 1, 2019 Accepting new patients
Munson Medical Center CurrentSince May 1, 2018 Accepting new patients
Munson Healthcare Charlevoix Hospital CurrentSince Nov 1, 2019 Accepting new patients
Botsford General Hospital Pediatrics Past Accepting new patients
Munson Medical Center Past Accepting new patients

Locations

2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031

3781 Momentum Pl
Chicago, IL 60689

300 North Ave
Battle Creek, MI 49017
Phone (269) 966-8000

300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862

14700 Lake Shore Dr
Charlevoix, MI 49720
Phone (231) 547-3840

829 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

829 N Center Ave
Ste 140
Gaylord, MI 49735
Phone (989) 731-7860

1100 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0317

1250 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0550

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

601 John St
Ste 351
Kalamazoo, MI 49007
Phone (269) 341-6469

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

601 John St
Ste M-351
Kalamazoo, MI 49007
Phone (269) 341-8786

106 S Madison St
Traverse City, MI 49684
Phone (231) 935-6650

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000

Interoperability endpoints

  • Direct secure messaging: direct@direct.bronsonhg.org
  • Direct secure messaging: lallred@direct.mhc.net
  • Direct secure messaging: lallred293264@direct.trinity-health.org

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1386716223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 JOHN ST",
            "address_2": "SOUTHWESTERN MICHIGAN NEONATOLOGY",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075341",
            "telephone_number": "269-341-6469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 JOHN ST STE 351",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075341",
            "telephone_number": "269-341-6469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "829 N Center Ave Ste 140",
            "address_purpose": "LOCATION",
            "city": "Gaylord",
            "state": "MI",
            "postal_code": "497351598",
            "country_code": "US",
            "telephone_number": "989-731-7870",
            "fax_number": "989-731-7837",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 E Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Grayling",
            "state": "MI",
            "postal_code": "497381312",
            "country_code": "US",
            "telephone_number": "989-348-5461",
            "fax_number": "989-348-5724",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14700 Lake Shore Dr",
            "address_purpose": "LOCATION",
            "city": "Charlevoix",
            "state": "MI",
            "postal_code": "497201931",
            "country_code": "US",
            "telephone_number": "231-547-4024",
            "fax_number": "231-547-8088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 S Madison St",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496842320",
            "country_code": "US",
            "telephone_number": "231-935-6650",
            "fax_number": "231-935-6652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLRED",
        "first_name": "LISA",
        "middle_name": "SHEA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "MI",
            "license": "4301081901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "LALLRED@direct.mhc.net",
            "affiliation": "N",
            "address_1": "1100 E Michigan Ave",
            "city": "Grayling",
            "state": "MI",
            "country_code": "US",
            "postal_code": "497381312",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson HealthCare Group Direct Address",
            "affiliationName": "Bronson HealthCare Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity Of Care Document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.