Individual provider Active NPI

Naomi Diana Lee, LICENSED PRACTICAL N

  • Licensed Practical Nurse
  • Sterling Heights, MI
National Provider Identifier
1144612375
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
4703093935 Issued in MI
Practice address
2962 Cherry Creek LN
Sterling Heights, MI 48314-1021
Phone
(586) 227-7422
NPI assigned
Feb 25, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 4703093935 MI Primary

Addresses

Primary practice location

2962 Cherry Creek LN
Sterling Heights, MI 48314-1021

Mailing address

2962 Cherry Creek LN
Sterling Heights, MI 48314-1021
Phone (586) 227-7422

Other practice location 1

4646 John R St
Detroit, MI 48201-1916
Phone (313) 576-1000

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

State licenses

LicenseStateTypeSpecialty
4703093935MIMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1424822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1144612375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2962 CHERRY CREEK LN",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141021",
            "telephone_number": "586-227-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2962 CHERRY CREEK LN",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141021",
            "telephone_number": "586-227-7422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4646 John R St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482011916",
            "country_code": "US",
            "telephone_number": "313-576-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "NAOMI",
        "middle_name": "DIANA",
        "name_prefix": "Mrs.",
        "credential": "LICENSED PRACTICAL N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-25",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703093935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; 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.