Active NPI
Lisa Morris, N.P.
- Nurse Practitioner
- Pontiac, MI
National Provider Identifier
1700061231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704178303
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700061231 | Other | MI | 1700061231 |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704178303 | MI | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Michigan Pain Management Center, PLC | Current | 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.
-
- Pain Clinic/Center
- Flint, MI
- NPI 1548410798
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.