Individual provider Active NPI

Lyniece Renney McNair-Levi, MS, AT, ATC

  • Athletic Trainer
  • Grand Blanc, MI
National Provider Identifier
1275680878
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
12500 Holly Rd
Grand Blanc, MI 48439-1868
Phone
(810) 591-4303
Fax
(810) 591-6690
NPI assigned
Jan 4, 2007
Last updated
Aug 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X Primary
Doula 374J00000X

Addresses

Primary practice location

12500 Holly Rd
Grand Blanc, MI 48439-1868

Mailing address

2291 Lincoln Manor Dr
Grand Blanc, MI 48507-4415
Phone (248) 756-3197

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1275680878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2291 LINCOLN MANOR DR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "485074415",
            "telephone_number": "248-756-3197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12500 HOLLY RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391868",
            "telephone_number": "810-591-4303",
            "fax_number": "810-591-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNAIR-LEVI",
        "first_name": "LYNIECE",
        "middle_name": "RENNEY",
        "name_prefix": "Ms.",
        "credential": "MS, AT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.