Kellee Ann Lezotte, ACNP-BC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

2019332 Issued in MI

Practice address

1791 Harwood Dr
Oxford, MI 48371-4439

Phone

(248) 672-4178

NPI assigned

Jul 27, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Southfield Radiology Associates, PLLC

  • Diagnostic Radiology Physician
  • Garden City, MI
  • NPI 1831103670
  NPD (past)

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290038400000",
    "number": "1083928436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1791 HARWOOD DR",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483714439",
            "telephone_number": "248-672-4178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1791 HARWOOD DR",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483714439",
            "telephone_number": "248-672-4178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEZOTTE",
        "first_name": "KELLEE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-27",
        "last_updated": "2010-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704145231",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "2019332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Nicole Mae Lechnyr
• Derenda Lefevre
• Legacy Chiropractic Center PLC
• Kyleigh Leist
• Tammy Lester, MA, CCC-SLP
• Lifetime Wellness Family Chiropractic, P.C.
• Tammie Tyann Liford
• Shay Liogghio, MA
• Henry Liu
• Lloyd Human Services, LLC

• Acute Care Nurse Practitioner in Oxford, MI
• Providers in Oxford, MI by specialty
• Acute Care Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.