Individual provider Active NPI

Lisa Morris, N.P.

  • Nurse Practitioner
  • Pontiac, MI
National Provider Identifier
1700061231
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704178303 Issued in MI
Practice address
461 W Huron St FL 4
Pontiac, MI 48341-1601
Phone
(586) 229-7812
Fax
(231) 241-1109
NPI assigned
Jan 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4704178303 MI
Nurse Practitioner 363L00000X 4704178303 MI Primary

Addresses

Primary practice location

461 W Huron St FL 4
Pontiac, MI 48341-1601

Mailing address

2301 S Huron Pkwy Ste 1D
Ann Arbor, MI 48104-5133
Phone (586) 229-7812

Other practice location 1

799 Denison Ct
1st Floor
Bloomfield Hills, MI 48302-0301
Phone (248) 751-7246

Other practice location 2

799 Denison Ct
1st Floor
Bloomfield Hills, MI 48302-0301
Phone (248) 751-7246

Other identifiers 1

IdentifierTypeStateIssuer
1700061231OtherMI1700061231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704178303MIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Michigan Pain Management Center, PLC CurrentSince Dec 7, 2019 Accepting new patients

Locations

1230 S Linden Rd
Ste 4
Flint, MI 48532
Phone (810) 732-7077

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1700061231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 S HURON PKWY STE 1D",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481045133",
            "telephone_number": "586-229-7812",
            "fax_number": "231-241-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 W HURON ST FL 4",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411601",
            "telephone_number": "586-229-7812",
            "fax_number": "231-241-1109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "799 Denison Ct",
            "address_2": "1st Floor",
            "address_purpose": "LOCATION",
            "city": "Bloomfield Hills",
            "state": "MI",
            "postal_code": "483020301",
            "country_code": "US",
            "telephone_number": "248-751-7246",
            "fax_number": "248-418-2311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "799 Denison Ct",
            "address_2": "1st Floor",
            "address_purpose": "LOCATION",
            "city": "Bloomfield Hills",
            "state": "MI",
            "postal_code": "483020301",
            "country_code": "US",
            "telephone_number": "248-751-7246",
            "fax_number": "248-418-2311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "LISA",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-03",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704178303",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704178303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1700061231",
            "identifier": "1700061231",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

Verify at the official NPI Registry.