Individual provider Active NPI

Kim M Lefler, MSN, FNP-C

  • Family Nurse Practitioner
  • Traverse City, MI
National Provider Identifier
1487766143
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704142913 Issued in MI
Practice address
3271 Racquet Club Dr
Traverse City, MI 49684-4770
Phone
(231) 932-9720
Fax
(231) 995-9302
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704142913 MI Primary

Addresses

Primary practice location

3271 Racquet Club Dr
Traverse City, MI 49684-4770

Mailing address

9124 Kimberly LN
Traverse City, MI 49684-9630
Phone (231) 941-1457

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111026000650 MI Order and Referring Only - Nurse Practitioner 1658544242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
4704142913MIMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487766143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9124 KIMBERLY LN",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496849630",
            "telephone_number": "231-941-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3271 RACQUET CLUB DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496844770",
            "telephone_number": "231-932-9720",
            "fax_number": "231-995-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFLER",
        "first_name": "KIM",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704142913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.