Individual provider Active NPI

Kinya A Lee

  • Family Nurse Practitioner
  • Detroit, MI
National Provider Identifier
1700564994
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F05230406 Issued in MI
Practice address
325 E Boston Blvd
Detroit, MI 48202-1369
Phone
(313) 595-3878
NPI assigned
Jul 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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 F05230406 MI Primary

Addresses

Primary practice location

325 E Boston Blvd
Detroit, MI 48202-1369

Mailing address

325 E Boston Blvd
Detroit, MI 48202-1369
Phone (313) 595-3878

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
I20240419000702 MI Practitioner - Nurse Practitioner 6608215991 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Right Health, PCGroup PAC ID 0244659092, 18 clinicians

Practice addresses (Care Compare)

1950 E Wattles Rd
Suite 110
Troy, MI 48085-5099
Phone (248) 453-9883

Hospital & facility affiliations

  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F05230406MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Right Health PC Nurse Practitioner CurrentSince Jul 15, 2025 Accepting new patients
Right Health PC Nurse Practitioner CurrentSince Jul 15, 2025 Accepting new patients
Western Wayne Family Health Centers CurrentSince Feb 19, 2024 Accepting new patients
Western Wayne Family Health Centers CurrentSince Feb 19, 2024 Accepting new patients

Locations

4700 Schaefer Rd
Ste 340
Dearborn, MI 48126
Phone (313) 561-5100

2700 Hamlin Blvd
Inkster, MI 48141
Phone (313) 561-5100

25500 Meadowbrook Rd
Ste 208
Novi, MI 48375
Phone (248) 200-9240

26650 Eureka Rd
#C1
Taylor, MI 48180
Phone (734) 941-4991

1950 E Wattles Rd
Ste 110
Troy, MI 48085
Phone (248) 453-9883

Interoperability endpoints

  • Direct secure messaging: kinya.lee.1@31553.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1700564994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E BOSTON BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482021369",
            "telephone_number": "313-595-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E BOSTON BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482021369",
            "telephone_number": "313-595-3878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KINYA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "F05230406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.