Individual provider Active NPI

Soua Kue, FNP-C

  • Family Nurse Practitioner
  • Clinton Township, MI
National Provider Identifier
1548705783
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F1216340 Issued in MI
Practice address
23575 15 Mile Rd
Clinton Township, MI 48035-3108
Phone
(586) 285-7113
NPI assigned
Dec 26, 2016
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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 F1216340 MI Primary

Addresses

Primary practice location

23575 15 Mile Rd
Clinton Township, MI 48035-3108

Mailing address

23575 15 Mile Rd
Clinton Township, MI 48035-3108
Phone (586) 285-7113

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
I20170202001609 MI Practitioner - Nurse Practitioner 0941583629 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Livewell Medical Group PLLCGroup PAC ID 0042667529, 9 clinicians

Practice addresses (Care Compare)

24831 Ryan Rd
Warren, MI 48091-3390
Phone (586) 619-7689

Merit-based Incentive Payment System (MIPS)

Final score
22.69 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
75.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F1216340MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Livewell Medical Group PLLC CurrentSince Dec 28, 2025 Accepting new patients
Wound Care Solutions PLLC Nurse Practitioner CurrentSince May 3, 2025 Accepting new patients

Locations

3611 Carpenter St
Ste 5
Hamtramck, MI 48212
Phone (313) 733-8286

2838 E Long Lake Rd
Ste 246
Troy, MI 48085
Phone (313) 312-3932

24831 Ryan Rd
Warren, MI 48091
Phone (586) 486-5037

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1482710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1548705783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23575 15 MILE RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480353108",
            "telephone_number": "586-285-7113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23575 15 MILE RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480353108",
            "telephone_number": "586-285-7113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUE",
        "first_name": "SOUA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-26",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "F1216340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.