Individual provider Active NPI

Liisa Marie Harding, FNP-BC

  • Family Nurse Practitioner
  • Detroit, MI
National Provider Identifier
1578038188
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704213823 Issued in MI
Practice address
5285 Anthony Wayne Dr
Detroit, MI 48202-3947
Phone
(313) 577-5041
Fax
(313) 577-9581
NPI assigned
Oct 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704213823 MI Primary

Addresses

Primary practice location

5285 Anthony Wayne Dr
Detroit, MI 48202-3947

Mailing address

5285 Anthony Wayne Dr
Detroit, MI 48202-3947
Phone (313) 577-5041

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nursing Practice Corporation CurrentSince Feb 2, 2025 Accepting new patients
Nursing Practice Corporation PastSince Feb 2, 2025 Accepting new patients

Locations

5285 Anthony Wayne Dr
Detroit, MI 48202
Phone (313) 577-5041

Interoperability endpoints

  • Direct secure messaging: lharding831209@direct.hfhs.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1578038188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5285 ANTHONY WAYNE DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023947",
            "telephone_number": "313-577-5041",
            "fax_number": "313-577-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5285 ANTHONY WAYNE DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023947",
            "telephone_number": "313-577-5041",
            "fax_number": "313-577-9581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDING",
        "first_name": "LIISA",
        "middle_name": "MARIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-10",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704213823",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 30, 2025; 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.