Organization Active NPI

Family and Lifestyle Medicine

Doing business as Lansing Family and Lifestyle Medicine

  • Family Medicine Physician
  • Holt, MI
National Provider Identifier
1477291102
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Authorized official

Name
Dr. Kimberly Azelton, MD, DIPABLM, MPANPI 1972038594
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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220725000634 MI Part B Supplier - Clinic/Group Practice 8123409018 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Ledge, MI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.