Active NPI
Kaitlin Elizabeth Timmins, NNP
- Neonatal Nurse Practitioner
- Detroit, MI
National Provider Identifier
1639905920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- 4704317524
- Practice address
- 3901 Beaubien St
Detroit, MI 48201-2196 - Phone
- (313) 745-5437
- NPI assigned
- Sep 12, 2024
- Last updated
- Apr 21, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 4704317524 | MI | Primary |
Addresses
Primary practice location
3901 Beaubien St
Detroit, MI 48201-2196
Mailing address
150 Park St W
Apt 1708
Windsor, ON N9A 7A2
CA
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704317524 | MI | MD | Neonatal Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1639905920",
"addresses": [
{
"country_code": "CA",
"country_name": "Canada",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "150 PARK ST W",
"address_2": "APT 1708",
"city": "WINDSOR",
"state": "ON",
"postal_code": "N9A 7A2"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 BEAUBIEN ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012196",
"telephone_number": "313-745-5437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIMMINS",
"first_name": "KAITLIN",
"middle_name": "ELIZABETH",
"credential": "NNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-12",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "MI",
"license": "4704317524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.