Active NPI
Lisa Gay Haas
- Psychiatric/Mental Health Registered Nurse
- Appleton, WI
National Provider Identifier
1740940295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 81461-30
- Practice address
- 530 N Cambridge Dr
Appleton, WI 54915-2950 - Phone
- (920) 427-8773
- NPI assigned
- Dec 26, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 81461-30 | WI | Primary |
Addresses
Primary practice location
530 N Cambridge Dr
Appleton, WI 54915-2950
Mailing address
530 N Cambridge Dr
Appleton, WI 54915-2950
Phone (920) 427-8773
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 81461-30 | Other | WI | REGISTERED NURSE LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81461-30 | WI | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640476800000",
"number": "1740940295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 N CAMBRIDGE DR",
"city": "APPLETON",
"state": "WI",
"postal_code": "549152950",
"telephone_number": "920-427-8773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 N CAMBRIDGE DR",
"city": "APPLETON",
"state": "WI",
"postal_code": "549152950",
"telephone_number": "920-427-8773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAAS",
"first_name": "LISA",
"middle_name": "GAY",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-26",
"last_updated": "2021-12-26",
"certification_date": "2021-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "WI",
"license": "81461-30",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED NURSE LICENSE",
"identifier": "81461-30",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.