Active NPI
Family and Lifestyle Medicine
Doing business as Lansing Family and Lifestyle Medicine
- Family Medicine Physician
- Holt, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- FAMILY AND LIFESTYLE MEDICINE
- Doing business as
- Lansing Family and Lifestyle Medicine
- Practice address
- 4410 Holt Rd
Holt, MI 48842-1673 - Phone
- (517) 258-0855
- Fax
- (517) 210-2202
- NPI assigned
- May 23, 2022
- Last updated
- Mar 23, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kimberly Azelton, MD, DIPABLM, MPA
- Title
- Medical Director
- Phone
- (517) 258-0855
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
4410 Holt Rd
Holt, MI 48842-1673
Mailing address
4410 Holt Rd
Holt, MI 48842-1673
Phone (517) 258-0855
Other names 1
- Lansing Family and Lifestyle Medicine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4410 Holt Rd
Holt, MI 48842
Phone (517) 258-0855
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Holt, MI
- NPI 1992325492
-
- Family Medicine Physician
- Holt, MI
- NPI 1972038594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774224000000",
"number": "1477291102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4410 HOLT RD",
"city": "HOLT",
"state": "MI",
"postal_code": "488421673",
"telephone_number": "517-258-0855",
"fax_number": "517-210-2202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4410 HOLT RD",
"city": "HOLT",
"state": "MI",
"postal_code": "488421673",
"telephone_number": "517-258-0855",
"fax_number": "517-210-2202"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY AND LIFESTYLE MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-23",
"last_updated": "2026-03-23",
"certification_date": "2026-03-23",
"status": "A",
"authorized_official_last_name": "AZELTON",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "517-258-0855",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD, DIPABLM, MPA"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lansing Family and Lifestyle Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Holt, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.