Active NPI
Leah Grazes, APRN, NNP-DC
- Critical Care Neonatal Nurse Practitioner
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Neonatal Nurse Practitioner
- License
- 104242250
- Practice address
- 3990 John R St
Detroit, MI 48201-2018 - Phone
- (313) 745-7555
- NPI assigned
- Feb 27, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | 104242250 | MI | Primary |
Addresses
Primary practice location
3990 John R St
Detroit, MI 48201-2018
Mailing address
40462 Cinnamon Cir
Canton, MI 48187-4588
Phone (313) 575-2324
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104242250 | MI | MD | Critical Care Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health Providence Hospital | Current | Accepting new patients |
Locations
26850 Providence Pkwy
Ste 455
Novi, MI 48374
Phone (248) 465-4847
47601 Grand River Ave
Novi, MI 48374
Phone (248) 465-4100
16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000
Interoperability endpoints
- lgrazes1130590@direct.hfhs.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Henry Ford Providence Hospital
- Surgery Physician
- Southfield, MI
- NPI 1942265236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645920000000",
"number": "1164178257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40462 CINNAMON CIR",
"city": "CANTON",
"state": "MI",
"postal_code": "481874588",
"telephone_number": "313-575-2324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3990 JOHN R ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012018",
"telephone_number": "313-745-7555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAZES",
"first_name": "LEAH",
"credential": "APRN, NNP-DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-27",
"last_updated": "2022-02-27",
"certification_date": "2022-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "MI",
"license": "104242250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
- Elizabeth Grayson, LMSW
- Monica Grayson, LMSW
- Patrinia Grayson
- Robert Grayson
- Grayson's One on One Care LLC
- Great American Rehabilitation and Physical Therapy Center, Inc.
- Great Futures Family Services Inc
- Great Lakes Accident Service LTD.
- Great Lakes Dialysis, L.L.C. (Dialysis Care Center Great Lakes East)
- Great Lakes Family Medical Center PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.