Individual provider Active NPI

Lisa Elaine Deneau, R.N.

  • Psychiatric/Mental Health Registered Nurse
  • Clinton TWP, MI
National Provider Identifier
1740496587
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
4704192092 Issued in MI
Practice address
16200 19 Mile Rd
Clinton TWP, MI 48038-1103
Phone
(586) 566-7221
Fax
(586) 263-8731
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 4704192092 MI Primary

Addresses

Primary practice location

16200 19 Mile Rd
Clinton TWP, MI 48038-1103

Mailing address

14133 Billette Dr
Sterling Heights, MI 48313-2721
Phone (586) 566-7221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704192092MIMDPsychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740496587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14133 BILLETTE DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483132721",
            "telephone_number": "586-566-7221",
            "fax_number": "586-797-9174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16200 19 MILE RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381103",
            "telephone_number": "586-566-7221",
            "fax_number": "586-263-8731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENEAU",
        "first_name": "LISA",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704192092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.