Active NPI
Lisa Haltinner, RN
- Registered Nurse
- Royal Oak, MI
National Provider Identifier
1972082329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 4704288440
- Practice address
- 117 W 3Rd St
Royal Oak, MI 48067-3831 - Phone
- (248) 965-6605
- Fax
- (615) 468-4583
- NPI assigned
- Aug 7, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704288440 | MI | Primary |
Addresses
Primary practice location
117 W 3Rd St
Royal Oak, MI 48067-3831
Mailing address
117 W 3Rd St
Royal Oak, MI 48067-3831
Phone (248) 965-6605
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780047365 | Other | MI | THIRD PARTY INSURANCE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4704288440 | MI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533600000000",
"number": "1972082329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 W 3RD ST",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480673831",
"telephone_number": "248-965-6605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 W 3RD ST",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480673831",
"telephone_number": "248-965-6605",
"fax_number": "615-468-4583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALTINNER",
"first_name": "LISA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-07",
"last_updated": "2018-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704288440",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THIRD PARTY INSURANCE",
"identifier": "1780047365",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.