Organization Active NPI

Downriver Wellness Group

  • Adult Medicine Physician
  • Lincoln Park, MI
National Provider Identifier
1437943503
Registry record updated Apr 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
DOWNRIVER WELLNESS GROUP
Practice address
703 Highland Ave
Lincoln Park, MI 48146-4384
Phone
(313) 974-5566
NPI assigned
Apr 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2025

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

Authorized official

Name
Katie PreeceNPI 1467043828
Title
Owner
Phone
(313) 974-5566

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

703 Highland Ave
Lincoln Park, MI 48146-4384

Mailing address

1515 Fort Street #90
Lincoln Park, MI 48146

Other names 1

  • Team Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

1515 Fort St
Unit 90
Lincoln Park, MI 48146

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1743811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743811200000",
    "number": "1437943503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 FORT STREET #90",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "48146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 HIGHLAND AVE",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481464384",
            "telephone_number": "313-974-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNRIVER WELLNESS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-05",
        "last_updated": "2025-04-05",
        "certification_date": "2025-04-05",
        "status": "A",
        "authorized_official_last_name": "PREECE",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-974-5566"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Team Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.