Kathy Lynn Leist

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704164321 Issued in MI

Practice address

5333 McAuley Dr
Ypsilanti, MI 48197-1014

Phone

(734) 712-3470

NPI assigned

Oct 18, 2008

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 names 1

• Kathy Lynn Leist Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AJFBBA

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.

• Nephrology Hypertension Clinic PC

  • Nephrology Physician
  • Allen Park, MI
  • NPI 1225103740
  NPD (past)
• Nephrology Hypertension Clinic, PC

  • Nephrology Physician
  • Allen Park, MI
  • NPI 1053466094
  NPD (past)
• Oakwood Healthcare Inc

  • Community/Retail Pharmacy
  • Westland, MI
  • NPI 1033128178
  NPD (past)

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

{
    "created_epoch": "1224288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224288000000",
    "number": "1083866255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23046 FAIRLANE BLVD",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481831688",
            "telephone_number": "734-308-5914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 MCAULEY DR",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971014",
            "telephone_number": "734-712-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIST",
        "first_name": "KATHY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-18",
        "last_updated": "2008-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704164321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "LEIST",
            "middle_name": "LYNN",
            "credential": "MSN,FNP-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Yan Qing Lee
• Fredric Scott Leeman, CPSS
• Gerard M Lefebvre Jr., PA-C
• Sophie Devorah Lefevre, CTRS, BCBA
• Jeffrey G Leflein, MD
• Victoria Leiti
• Charles Leland, MD
• Ben Lemanski
• Pamela Anne Lemerand, PH.D.
• Jennifer Ann Lemmen, DC

• Family Nurse Practitioner in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2008; 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.