Heather Lacaria, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704278874 Issued in MI

Practice address

1385 E 12 Mile Rd
Suite
Madison Heights, MI 48071-2602

Phone

(248) 284-1760

Fax

(248) 284-1780

NPI assigned

Jun 26, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422576000000",
    "number": "1912312133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 E 12 MILE RD",
            "address_2": "SUITE",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712602",
            "telephone_number": "248-284-1760",
            "fax_number": "248-284-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 E 12 MILE RD",
            "address_2": "SUITE",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712602",
            "telephone_number": "248-284-1760",
            "fax_number": "248-284-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACARIA",
        "first_name": "HEATHER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-26",
        "last_updated": "2015-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704278874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912312133",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Supriya Kundani, PHARMD
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• Kelsey L Kurtenbach, FNP
• Joseph Labib, DPT
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• Michael R Laffer, D.O.
• Jamila Lamb
• Gary Langnas, D.O.
• Langston Walker & Associates, P.C.

• Nurse Practitioner in Madison Heights, MI
• Providers in Madison Heights, MI by specialty
• Nurse Practitioner in Michigan

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