Active NPI
J&P Haririe Midlevel Healthcare Associates
Doing business as Advanced Lipidology
- Family Health Clinical Nurse Specialist
- Pewaukee, WI
National Provider Identifier
1639504004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Health Clinical Nurse Specialist
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Pauline F Haririe, APNP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0019493-20 | WI | |
| Internal Medicine Physician | 207R00000X | WI | ||
| Medical Physician Assistant | 363AM0700X | 838-023 | WI | |
| Medical Physician Assistant | 363AM0700X | WI | ||
| Family Health Clinical Nurse Specialist | 364SF0001X | 1842-33 | WI | |
| Family Health Clinical Nurse Specialist | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Primary Care Nurse Practitioner
- Pewaukee, WI
- NPI 1508800624
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"
}
]
}
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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.