MS. LISA D MICHAUX (NPI# 1639199219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639199219 |
| Entity Type | Individual |
| Full Name | MS. LISA D MICHAUX |
| Credential | APRN, BC |
| Practice Address |
31815 Southfield Rd Ste 22 Beverly Hills MI 48025-5471 |
| Practice Telephone | 2485943142 |
| Practice Fax Number | 2485943249 |
| Mailing Telephone | 2485943142 |
| Mailing Fax Number | 2485943249 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2013-06-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
4704232028 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | VALUE OPTIONS | 453943 | 01 |
| MI | BCBSM | 08669640 | 01 |
| MI | HAP | G42072 | 01 |
| Street Address |
31815 SOUTHFIELD RD STE 22 |
| City | BEVERLY HILLS |
| State | MI |
| Zip Code | 48025-5471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568452761 | Herbert J Roth Sr. | Pediatrics | 31815 Southfield Rd, Ste 14, Beverly Hills, MI 48025-5471 | 2005-10-27 |
| 1578027991 | Marcia Jean Klucznik | Counselor | 31815 Southfield Rd, Beverly Hills, MI 48025-5471 | 2019-01-30 |
| 1609366434 | Steven Daniel Light | Chiropractor | 31815 Southfield Rd, Suite 17, Beverly Hills, MI 48025 | 2018-05-17 |
| 1356876288 | Small Talk Centers Pllc | Speech-Language Pathologist | 31815 Southfield Rd, Suite 11, Beverly Hills, MI 48025-5471 | 2017-04-28 |
| 1629516687 | Tina Sappington | Speech-Language Pathologist | 31815 Southfield Rd, Suite 11, Beverly Hills, MI 48025-5471 | 2017-02-09 |
| 1033567490 | Medical Village Optical Shoppe Inc. | Optometrist | 31815 Southfield Rd, Suite #12, Beverly Hills, MI 48025-5471 | 2016-05-26 |
| 1912309352 | Mas Counseling Services, Pllc | Social Worker | 31815 Southfield Rd, Suite 27, Beverly Hills, MI 48025-5471 | 2014-09-17 |
| 1407298516 | Deborah Kay Petersen-brand | Mechanotherapist | 31815 Southfield Rd, Ste. 17, Beverly Hills, MI 48025-5471 | 2013-07-18 |
| 1336581453 | Karleen Rosita Brown | Mechanotherapist | 31815 Southfield Rd, Suite 17, Beverly Hills, MI 48025-5471 | 2013-07-18 |
| 1497197545 | Heather Leighmcpherson Hunt | Reflexologist | 31815 Southfield Rd, Ste 17, Beverly Hills, MI 48025-5471 | 2013-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571413 | Cole Nicolas Gomez | Technician/Technologist | 32199 Telegraph Rd, Bingham Farms, MI 48025 | 2020-09-08 |
| 1346859212 | Jordyn Jones | Technician/Technologist | 32199 Telegraph Rd Ste 205, Bingham Farms, MI 48025 | 2020-07-27 |
| 1013492644 | Shaniya Hyman | Technician/Technologist | 32100 Telegraph Rd Suit 205, Bingham Farms, MI 48025 | 2018-09-28 |
| 1043799042 | Assisted Home Health | Hospice Care, Community Based | 20150 Plantation Ln, Beverly Hills, MI 48025 | 2018-08-09 |
| 1235618224 | Robert Dean Harley | Technician/Technologist | 31200 Telegraph Rd Ste 205, Bingham Farms, MI 48025 | 2018-08-09 |
| 1760973911 | Tailormed Medical Inc | Case Management | 30100 Telegraph Road, Suite 403, Bringham Farms, MI 48025 | 2018-05-23 |
| 1245745447 | Supportive Home Health Care LLC | Home Health | 30100 Telegraph Rd Ste 478, Bingham Farms, MI 48025 | 2017-12-11 |
| 1265954192 | Breeona Rue | Technician/Technologist | 32100 Telegraph Rd Suite 205, Bingham Farms, MI 48025 | 2017-07-12 |
| 1417478132 | Gina Maria Bignotti | Behavior Technician | 32100 Telegraph, Bingham Farms, MI 48025 | 2017-07-03 |
| 1295256238 | Chanel Matti | Behavior Technician | 32100 Telegraph Rd Suite 185, Bingham Farms, MI 48025 | 2017-06-29 |
| Find all providers in zip 48025 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578104568 | Jonathan Martin Villafuerte Llamas | Nurse Practitioner | 8920 Wilshire Blvd Ste 425, Beverly Hills, CA 90211-2004 | 2019-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692494 | Memphis Chardell Sandoval | Nurse Practitioner | 131 S. Seaway Dr., Muskegon, MI 49441 | 2020-09-01 |
| 1588282784 | Mary Tackbary | Nurse Practitioner | 3932 W Briar Hill Dr, Maple City, MI 49664-9521 | 2020-07-14 |
| 1962032227 | Westlake Consultation Center | Nurse Practitioner | 4870 W Clark Rd Ste 100, Ypsilanti, MI 48197-1104 | 2020-01-24 |
| 1689211823 | Wanda Edwards | Nurse Practitioner | 29000 Inkster Rd Ste 115, Southfield, MI 48034-1097 | 2019-12-06 |
| 1508416355 | Stephanie Lauren Marl | Nurse Practitioner | 29800 Adams Dr, Gibraltar, MI 48173 | 2019-09-13 |
| 1457905614 | Natalie Poole | Nurse Practitioner | 23077 Greenfield Rd Ste 260, Southfield, MI 48075-3745 | 2019-07-26 |
| 1629535117 | Valerie Baunoch | Nurse Practitioner | 2057 E West Maple Rd, Commerce Twp, MI 48390 | 2019-02-21 |
| 1790293488 | Infinity Hope Center LLC | Nurse Practitioner | 260 Vinewood St Ste 100a8919, Detroit, MI 48216-1667 | 2018-01-16 |
| 1033659644 | Anne Zamler | Nurse Practitioner | 14230 W Mcnichols Rd, Detroit, MI 48235-3912 | 2017-03-01 |
| 1396289120 | Next Level Up Health & Wellness Inc. | Nurse Practitioner | 28423 Parkwood St, Inkster, MI 48141-1669 | 2016-12-13 |
| Find all providers with the same taxonomy | ||||
| City | BEVERLY HILLS |
| Zip Code | 48025 |
Please comment or provide details below to improve the information on MS. LISA D MICHAUX.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.