Johnlette S Harlin

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

4704297561 Issued in MI

Practice address

1428 S Lapeer Rd
Lake Orion, MI 48360-1437

Phone

(248) 693-0543

Fax

(248) 693-3683

NPI assigned

Mar 11, 2020

Last updated

Mar 7, 2023By the provider in NPPES

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

Other names 1

• Johnlette Garner Former name

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Im Hospitalists PLLCGroup PAC ID 2567621477, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Im Hospitalists PLLC

  • Internal Medicine Physician
  • Troy, MI
  • NPI 1194001222
  Medicare reassignment Care Compare group
• Complexcare Medical Group Midwest H PLLC

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1457144933
  Medicare reassignment NPD
• Theoria Medical

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1609362375

  Nurse Practitioner

  Medicare reassignment NPD
• Women's Healthcare Associates of Oakland PLLC

  • Medical Specialty Clinic/Center
  • Lake Orion, MI
  • NPI 1568653780
  Medicare reassignment NPD
• Wellbridge of Clarkston, LLC

  • Skilled Nursing Facility
  • Independence Township, MI
  • NPI 1669965299
  NPD (past)

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1427683283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 MCCLINTOCK DR",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605270871",
            "telephone_number": "313-645-0958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 S LAPEER RD",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483601437",
            "telephone_number": "248-693-0543",
            "fax_number": "248-693-3683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARLIN",
        "first_name": "JOHNLETTE",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-11",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704297561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHNLETTE",
            "last_name": "GARNER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amber Hagen, NP
• Mary Kay Haines, RDH, BCTN, FDN-P
• Hakaw, P.C.
• Richard Hallowell, FNP
• Hanna Wissam-Semaan Hanna, MD
• Casandra Harper
• Luci Ellavich Harris, DPT
• Deanna Hart
• Andrea Hartford, DO
• Bernice Elaine Harvey, TLLP

• Gerontology Nurse Practitioner in Lake Orion, MI
• Providers in Lake Orion, MI by specialty
• Gerontology Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.