Heather Ann Haddad, AGPC NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704283240 Issued in MI

Practice address

6742 Park Ave
Allen Park, MI 48101-2034

Phone

(313) 928-2333

NPI assigned

Jun 23, 2021

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hhaddad757460@direct.hfhs.org
• FHIR API: https://fhir4.healow.com/fhir/r4/DCHIBA

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.

• Apc Physicians, P.L.L.C.

  • Cardiovascular Disease Physician
  • Allen Park, MI
  • NPI 1710383641
  Medicare reassignment NPD

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1609445691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19066 FORREST HILL DR",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481834314",
            "telephone_number": "734-934-8468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6742 PARK AVE",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012034",
            "telephone_number": "313-928-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDAD",
        "first_name": "HEATHER",
        "middle_name": "ANN",
        "credential": "AGPC NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704283240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter John Guseth, CRNA
• Jeffrey Michael Gutman, DO
• H2G Dental PLLC
• Allie Habhab, PHARMD
• Ayah Habhab, PHARMD
• Noora Faris Haddad
• Emily Haddix, DPT
• Merima Hadzialijagic, PTA
• Ryan Alexander Hagen
• Kristin Hall, FNP

• Nurse Practitioner in Allen Park, MI
• Providers in Allen Park, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.