Individual provider Active NPI

Mary Louise Hasskamp-Howe, MSN-FNP-BC

  • Nurse Practitioner
  • Southgate, MI
National Provider Identifier
1922327717
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704183944 Issued in MI
Practice address
14752 Northline Rd
Southgate, MI 48195-2698
Phone
(734) 285-5030
Fax
(734) 285-8223
NPI assigned
May 19, 2010
Last updated
May 19, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704183944 MI Primary

Addresses

Primary practice location

14752 Northline Rd
Southgate, MI 48195-2698

Mailing address

18100 Oakwood Blvd
# 207
Dearborn, MI 48124-4085
Phone (313) 271-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110317000602 MI Practitioner - Nurse Practitioner 3375726094 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704183944MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Urgent Care, P. C. Current Accepting new patients
Lakeside Urgent Care, P.C. CurrentSince Apr 20, 2014 Accepting new patients
Oakwood Healthcare Inc Past Accepting new patients
Nephrology Hypertension Clinic PC Past Accepting new patients

Locations

44472 Hayes Rd
Clinton Twp, MI 48038
Phone (586) 412-0890

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274227200000",
    "number": "1922327717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18100 OAKWOOD BLVD",
            "address_2": "# 207",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481244085",
            "telephone_number": "313-271-3000",
            "fax_number": "313-271-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14752 NORTHLINE RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952698",
            "telephone_number": "734-285-5030",
            "fax_number": "734-285-8223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSKAMP-HOWE",
        "first_name": "MARY",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "MSN-FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-19",
        "last_updated": "2010-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704183944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southgate, MI

Sources for this page

Verify at the official NPI Registry.