Individual provider Active NPI

Renee Kinaia, NP

  • Adult Health Nurse Practitioner
  • Sterling Heights, MI
National Provider Identifier
1073028130
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704266692 Issued in MI
Practice address
2311 15 Mile Rd Ste a
Sterling Heights, MI 48310-4842
Phone
(586) 354-1489
NPI assigned
Dec 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 4704266692 MI
Nurse Practitioner 363L00000X 4704266692 MI
Adult Health Nurse Practitioner 363LA2200X 4704266692 MI Primary

Addresses

Primary practice location

2311 15 Mile Rd Ste a
Sterling Heights, MI 48310-4842

Mailing address

2311 15 Mile Rd Ste a
Sterling Heights, MI 48310-4842
Phone (586) 354-1489

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
I20220301002431 MI Practitioner - Nurse Practitioner 3274927694 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curana Health of Michigan PLLCGroup PAC ID 9638502917, 39 clinicians

Practice addresses (Care Compare)

Detroit, MI 48243
Phone (337) 991-9276

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704266692MIMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health of Michigan PLLC Nurse Practitioner CurrentSince Feb 21, 2022 Accepting new patients
Faiz Mansour, M.D., P.C. Past Accepting new patients

Locations

400 Renaissance Ctr
Ste 2600
Detroit, MI 48243
Phone (248) 599-1582

2000 Leonard St NE
Grand Rapids, MI 49505
Phone (616) 458-1133

3830 Okemos Rd
Okemos, MI 48864
Phone (517) 706-0300

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1073028130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 15 MILE RD STE A",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104842",
            "telephone_number": "586-354-1489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 15 MILE RD STE A",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104842",
            "telephone_number": "586-354-1489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINAIA",
        "first_name": "RENEE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-11",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704266692",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704266692",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704266692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.