Lisa Nicole Haslag, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2018002178 Issued in MO

Practice address

401 N Keene St
Columbia, MO 65201-6625

Phone

(573) 876-1644

Fax

(573) 876-1678

NPI assigned

Jan 24, 2018

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 MO

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Missouri Dermatology Associates, LLPGroup PAC ID 4789803065, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Central Missouri Dermatology Associates, LLP

  • Dermatology Physician
  • Columbia, MO
  • NPI 1447669932
  Medicare reassignment Care Compare group NPD
• Central Missouri Vision Center

  • Optometrist
  • Jefferson City, MO
  • NPI 1104924992
  NPD

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516752000000",
    "number": "1679071625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 MURPHY FORD RD",
            "city": "CENTERTOWN",
            "state": "MO",
            "postal_code": "650233504",
            "telephone_number": "573-301-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N KEENE ST",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016625",
            "telephone_number": "573-876-1644",
            "fax_number": "573-876-1678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASLAG",
        "first_name": "LISA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-24",
        "last_updated": "2018-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2018002178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maranda Ann Hartze Pithua
• Kristen M Hasan, MPH, RD, LD
• Sana Hasan, MD
• Shahan Haseeb, MD
• Muhammad Moseeb Hashim, M.D.
• Sara Margaret Haslag, CPNP
• Syed Osama Hassan, MD
• Joel Hassien, M.D.
• Nicole Marie Hatchett, M.S., CCC-SLP
• Don Alan Hatfield, D.D.S.

• Family Nurse Practitioner in Columbia, MO
• Providers in Columbia, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.