Elizabeth L. Hale, DNP, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71001231A Issued in IN

Practice address

311 Boyd Blvd
La Porte, IN 46350-3965

Phone

(219) 326-5434

NPI assigned

Jun 14, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447200000000",
    "number": "1871598243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 MEADOWBROOK RD",
            "address_2": "SUITE 110",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490229609",
            "telephone_number": "269-985-4433",
            "fax_number": "269-985-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 BOYD BLVD",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503965",
            "telephone_number": "219-326-5434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "ELIZABETH",
        "middle_name": "L.",
        "credential": "DNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-14",
        "last_updated": "2015-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71001231A",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704277511",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200349050",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM, BCBS",
            "identifier": "000000353463",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Timothy Joseph Gurrola, DC
• Grace Elizabeth Hammer
• Suzanne Marie Hanna, CNM
• Morgan Hardesty
• Winter Harmsen
• Maria Hasnerl, RBT

• Family Nurse Practitioner in La Porte, IN
• Providers in La Porte, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2015; 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.