Antoinette Dominque Lee

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

935 Sweet St NE
Grand Rapids, MI 49505-5262

Phone

(616) 477-7156

NPI assigned

May 6, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1174371108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17980 COVE ST APT 18",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494561247",
            "telephone_number": "616-477-7156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 SWEET ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495055262",
            "telephone_number": "616-477-7156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ANTOINETTE",
        "middle_name": "DOMINQUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lynn Lecompte, RN
• Lucy Ledesma, NP
• Amanda Lynn Ledford, LMSW
• Bailey Ledy, MD
• Alicia Lee
• Avery Perrin Lee, PA-C
• Brett A Lee
• Brian Edward Lee, PA-C
• Brianna R Lee, LMSW
• Bryghton Joy Lee

• Home Health Aide in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Home Health Aide in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.