Lia Hackett, APN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ00377100 Issued in NJ

Practice address

11 Paterson Ave
Midland Park, NJ 07432-1829

Phone

(201) 321-4071

NPI assigned

May 17, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lia Hackett Apn LLC

  • Social Worker
  • Midland Park, NJ
  • NPI 1386357457
  NPD (past) Authorized official

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337212800000",
    "number": "1598025025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 PATERSON AVE",
            "address_2": "SUITE 4",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321829",
            "telephone_number": "201-321-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 PATERSON AVE",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321829",
            "telephone_number": "201-321-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKETT",
        "first_name": "LIA",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-17",
        "last_updated": "2012-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00377100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Gredell, OT
• Melissa Green-Jackson, LPC
• Richard A Guild, ED. D
• Victoria Marie Haas
• Kevin Hackett, LSW, LCADC
• Jessica Haftek, PSY.D.
• Katerine Halim
• Christina Han, LMFT
• Isabella K Hanna, OT
• Victor Hartanto, MD

• Psychiatric/Mental Health Nurse Practitioner in Midland Park, NJ
• Providers in Midland Park, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; 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.