Active NPI
Lisa Olmetti-O'Loughlin, LMT
- Homeopath
- Grand Rapids, MI
National Provider Identifier
1861940686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homeopath
- License
- 7501002608
- Practice address
- 1514 Wealthy St SE
Suite 218
Grand Rapids, MI 49506-2762 - Phone
- (616) 242-0034
- NPI assigned
- Sep 21, 2016
- 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 |
|---|---|---|---|---|
| Homeopath | 175L00000X | 7501002608 | MI | Primary |
Addresses
Primary practice location
1514 Wealthy St SE
Suite 218
Grand Rapids, MI 49506-2762
Mailing address
2165 Tecumseh Dr SE
Grand Rapids, MI 49506-5228
Phone (616) 822-2932
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 |
|---|---|---|---|
| 7501002608 | MI | MD | Homeopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474416000000",
"number": "1861940686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2165 TECUMSEH DR SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495065228",
"telephone_number": "616-822-2932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1514 WEALTHY ST SE",
"address_2": "SUITE 218",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495062762",
"telephone_number": "616-242-0034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLMETTI-O'LOUGHLIN",
"first_name": "LISA",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-21",
"last_updated": "2016-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "175L00000X",
"taxonomy_group": "",
"desc": "Homeopath",
"state": "MI",
"license": "7501002608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.