Organization Active NPI

J&P Haririe Midlevel Healthcare Associates

Doing business as Advanced Lipidology

  • Family Health Clinical Nurse Specialist
  • Pewaukee, WI
National Provider Identifier
1639504004
Registry record updated Aug 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
Legal business name
J&P HARIRIE MIDLEVEL HEALTHCARE ASSOCIATES
Doing business as
Advanced Lipidology
Practice address
N27W23953 Paul Rd
Ste 101
Pewaukee, WI 53072-6243
Phone
(262) 646-3223
Fax
(262) 646-3443
NPI assigned
Sep 4, 2013
Last updated
Aug 31, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2018

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

Authorized official

Name
Ms. Pauline F Haririe, APNPNPI 1508800624
Title
President
Phone
(262) 646-3223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 0019493-20 WI
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X WI
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X 838-023 WI
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X WI
Family Health Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SF0001X 1842-33 WI
Family Health Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SF0001X WI Primary

Addresses

Primary practice location

N27W23953 Paul Rd
Ste 101
Pewaukee, WI 53072-6243

Mailing address

N27W23953 Paul Rd
Ste 101
Pewaukee, WI 53072-6243
Phone (262) 646-3223

Other names 1

  • Advanced Lipidology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140612001973 WI Part B Supplier - Clinic/Group Practice 7911121991 Receives reassigned benefits from 1 practitioner
Practice locations: Pewaukee, WI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535673600000",
    "number": "1639504004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N27W23953 PAUL RD",
            "address_2": "STE 101",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530726243",
            "telephone_number": "262-646-3223",
            "fax_number": "262-646-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N27W23953 PAUL RD",
            "address_2": "STE 101",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530726243",
            "telephone_number": "262-646-3223",
            "fax_number": "262-646-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J&P HARIRIE MIDLEVEL HEALTHCARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-04",
        "last_updated": "2018-08-31",
        "status": "A",
        "authorized_official_last_name": "HARIRIE",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-646-3223",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APNP"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "0019493-20",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "WI",
            "license": "838-023",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "WI",
            "license": "1842-33",
            "primary": false
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Lipidology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Lipidology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pewaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.