Active NPI
Liza Raymond, N.P.
- Psychiatric/Mental Health Nurse Practitioner
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 4704233473
- Practice address
- 1500 Scotten St
Detroit, MI 48209-2139 - Phone
- (313) 849-5504
- Fax
- (313) 849-5744
- NPI assigned
- Jan 9, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704233473 | MI | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 4704233473 | MI | Primary |
Addresses
Primary practice location
1500 Scotten St
Detroit, MI 48209-2139
Mailing address
901 Beryl CT
Rochester Hills, MI 48307-3202
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4925016 | Medicaid | MI |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1400 Abbot Rd
Suite 400
East Lansing, MI 48823-1900
Phone (517) 882-3732
1760 S Telegraph Rd
Suite 220
Bloomfield Hills, MI 48302-0183
Phone (517) 882-3732
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704233473 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Urgent Care, PLLC | Current | Accepting new patients | |
| Downriver Mental Health Clinic PC | Current | Accepting new patients | |
| Seton Health Corporation of Southeastern Michigan | Current | Accepting new patients | |
| Seton Health Corporation of Southeastern Michigan | Current | Accepting new patients | |
| Elizabeth Lake Urgent Care PLLC | Current | Accepting new patients | |
| Royal Urgent Care, PLLC | Current | Accepting new patients | |
| David Leszkowitz DO PC | Current | Accepting new patients | |
| Downriver Mental Health Clinic PC | Current | Accepting new patients | |
| First Choice Urgent Care PC | Past | Accepting new patients | |
| Herbert L. Isaac II, M.D. Family Medicine PLLC | Past | Accepting new patients |
Locations
1760 S Telegraph Rd
Ste 220
Bloomfield Hills, MI 48302
Phone (248) 587-7618
1760 S Telegraph Rd
Ste 200
Bloomfield Township, MI 48302
1400 Abbot Rd
Ste 400
East Lansing, MI 48823
Phone (810) 220-2787
46591 Romeo Plank Rd
Ste 133
Macomb, MI 48044
Phone (586) 226-6161
2708 S Rochester Rd
Ste A
Rochester Hills, MI 48307
Phone (248) 309-3344
2632 S Rochester Rd
Unit 70747
Rochester Hills, MI 48307
4080 Crooks Rd
Royal Oak, MI 48073
Phone (248) 280-1080
22255 Greenfield Rd
Ste 550
Southfield, MI 48075
Phone (586) 226-6161
7701 26 Mile Rd
Washington, MI 48094
Phone (586) 935-4000
57850 Van Dyke Rd
Ste 100
Washington Twp, MI 48094
Phone (586) 203-2020
2446 Elizabeth Lake Rd
Waterford, MI 48328
Phone (248) 309-3344
9178 Highland Rd
Ste 1
White Lake, MI 48386
Phone (248) 698-1999
Interoperability endpoints
- lifestancehealth.lizaraymond@150339.advancedmd-direct.com
Organizations & group practices 10
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.
-
- Psychologist
- Taylor, MI
- NPI 1295866135
-
- Family Medicine Physician
- White Lake, MI
- NPI 1609095256
-
- Urgent Care Clinic/Center
- Waterford, MI
- NPI 1538585260
-
- Internal Medicine Physician
- Royal Oak, MI
- NPI 1952833196
-
- Family Medicine Physician
- Clinton Township, MI
- NPI 1598177065
-
- Psychologist
- Taylor, MI
- NPI 1104930130
-
- Physical Therapy Clinic/Center
- Macomb, MI
- NPI 1487067260
-
- Urgent Care Clinic/Center
- Washington Township, MI
- NPI 1891045563
-
- Urgent Care Clinic/Center
- Dearborn, MI
- NPI 1629201264
-
- Family Medicine Physician
- Pontiac, MI
- NPI 1881727725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682899200000",
"number": "1508915562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 BERYL CT",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483073202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 SCOTTEN ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482092139",
"telephone_number": "313-849-5504",
"fax_number": "313-849-5744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAYMOND",
"first_name": "LIZA",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2023-05-01",
"certification_date": "2023-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704233473",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MI",
"license": "4704233473",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4925016",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.