Individual provider Active NPI

Lisa Christine Leppala, RN

  • Registered Nurse
  • Wakefield, MI
National Provider Identifier
1811629595
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
4704232857 Issued in MI
Practice address
103 W US Highway 2
Wakefield, MI 49968-9515
Phone
(906) 229-6120
Fax
(906) 229-6191
NPI assigned
Jun 30, 2022
Last updated
Jun 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704232857 MI Primary

Addresses

Primary practice location

103 W US Highway 2
Wakefield, MI 49968-9515

Mailing address

103 W US Highway 2
Wakefield, MI 49968-9515
Phone (906) 229-6120

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
4704232857MIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1811629595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 W US HIGHWAY 2",
            "city": "WAKEFIELD",
            "state": "MI",
            "postal_code": "499689515",
            "telephone_number": "906-229-6120",
            "fax_number": "906-229-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W US HIGHWAY 2",
            "city": "WAKEFIELD",
            "state": "MI",
            "postal_code": "499689515",
            "telephone_number": "906-229-6120",
            "fax_number": "906-229-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEPPALA",
        "first_name": "LISA",
        "middle_name": "CHRISTINE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704232857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.