Individual provider Active NPI

Kali M McLeod, C-NP

  • Nurse Practitioner
  • Saint Clair Shores, MI
National Provider Identifier
1639656721
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704301644 Issued in MI
Practice address
28001 Harper Ave
Saint Clair Shores, MI 48081-1561
Phone
(586) 772-7180
Fax
(586) 279-0033
NPI assigned
Jul 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704301644 MI Primary

Addresses

Primary practice location

28001 Harper Ave
Saint Clair Shores, MI 48081-1561

Mailing address

28001 Harper Ave
Saint Clair Shores, MI 48081-1561
Phone (586) 772-7180

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
I20181010002002 MI Practitioner - Nurse Practitioner 7315299856 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704301644MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Longevity Accountable Care, PA CurrentSince Jul 31, 2024 Accepting new patients
Geriatric Associates of Michigan, PLLC CurrentSince Sep 16, 2018 Accepting new patients
Longevity Accountable Care, PA CurrentSince Jul 31, 2024 Accepting new patients

Locations (25 of 27)

8444 Engleman
Center Line, MI 48015
Phone (586) 755-1488

535 N Main St
Clawson, MI 48017
Phone (248) 435-5200

17001 17 Mile Rd
Clinton Twp, MI 48038
Phone (586) 286-7100

8045 E Jefferson Ave
Detroit, MI 48214
Phone (313) 821-3525

1533 Cadillac Blvd
Detroit, MI 48214
Phone (313) 823-0435

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

18300 E Warren Ave
Detroit, MI 48224
Phone (313) 343-8000

33300 Utica Rd
Fraser, MI 48026
Phone (586) 293-3300

2320 E Beltline Ave SE
Grand Rapids, MI 49546
Phone (616) 949-3000

21260 Mack Ave
Grosse Pointe Woods, MI 48236
Phone (313) 343-0600

21401 Mack Ave
Grosse Pointe Woods, MI 48236
Phone (586) 778-0800

27483 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 544-9050

25375 Kelly Rd
Roseville, MI 48066
Phone (586) 733-6022

137 Keveling Dr
Saline, MI 48176
Phone (586) 393-1330

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

28001 Harper Ave
St Clr Shores, MI 48081
Phone (586) 772-7180

22601 E 9 Mile Rd
St Clr Shores, MI 48080
Phone (586) 772-4300

11095 E 14 Mile Rd
Sterling Heights, MI 48312
Phone (586) 795-0998

14900 Shoreline Dr
Sterling Hts, MI 48313
Phone (586) 228-2518

14030 E 14 Mile Rd
Warren, MI 48088
Phone (586) 286-3260

31830 Ryan Rd
Warren, MI 48092
Phone (586) 795-5862

11525 E 10 Mile Rd
Warren, MI 48089
Phone (586) 759-0700

11700 E 10 Mile Rd
Warren, MI 48089
Phone (586) 353-3800

11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000

29800 Hoover Rd
Warren, MI 48093
Phone (586) 574-3444

Interoperability endpoints

  • Direct secure messaging: kmcleod537838@direct.hfhs.org
  • Direct secure messaging: kmcleod@landmarkhealth-direct.org

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1639656721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28001 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811561",
            "telephone_number": "586-772-7180",
            "fax_number": "586-279-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28001 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811561",
            "telephone_number": "586-772-7180",
            "fax_number": "586-279-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEOD",
        "first_name": "KALI",
        "middle_name": "M",
        "credential": "C-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704301644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

Verify at the official NPI Registry.