Active NPI
Lisa McDonald, RNFA
- Registered Nurse First Assistant
- Novi, MI
National Provider Identifier
1437270154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- License
- 4704223899
- Practice address
- 47601 Grand River Ave
Novi, MI 48374-1233 - Phone
- (248) 465-3180
- Fax
- (248) 465-3181
- NPI assigned
- Apr 2, 2007
- 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 |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | 4704223899 | MI | Primary |
Addresses
Primary practice location
47601 Grand River Ave
Novi, MI 48374-1233
Mailing address
18820 Fox
Redford, MI 48240-1965
Phone (734) 754-1712
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 |
|---|---|---|---|
| 4704223899 | MI | MD | Registered Nurse First Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232064000000",
"number": "1437270154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18820 FOX",
"city": "REDFORD",
"state": "MI",
"postal_code": "482401965",
"telephone_number": "734-754-1712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47601 GRAND RIVER AVE",
"city": "NOVI",
"state": "MI",
"postal_code": "483741233",
"telephone_number": "248-465-3180",
"fax_number": "248-465-3181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "LISA",
"name_prefix": "Miss",
"credential": "RNFA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-02",
"last_updated": "2009-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "MI",
"license": "4704223899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.