Kaitlyn Elizabeth Cheedie

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704313262 Issued in MI

Practice address

18463 Livernois Ave
Detroit, MI 48221-2254

Phone

(248) 420-2087

NPI assigned

Sep 29, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kkus716607@direct.hfhs.org
• Direct secure messaging: kcheedie2889364@epic00.corewelldirect.org
• Direct secure messaging: kaitlynkus@epicpc.allscriptsdirect.net

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 Health Care Inc.

  • Internal Medicine Physician
  • Pontiac, MI
  • NPI 1609970359
  NPD (past)
• Telemed Consultants PLLC

  • Internal Medicine Physician
  • Pontiac, MI
  • NPI 1699398347
  NPD (past)

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

{
    "created_epoch": "1569715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1710538947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9920 HUBBARD ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481502712",
            "telephone_number": "248-420-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18463 LIVERNOIS AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212254",
            "telephone_number": "248-420-2087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "64 N Saginaw St",
            "address_purpose": "LOCATION",
            "city": "Pontiac",
            "state": "MI",
            "postal_code": "483422155",
            "country_code": "US",
            "telephone_number": "248-420-2087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEEDIE",
        "first_name": "KAITLYN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-29",
        "last_updated": "2022-03-15",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704313262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pimpanada Chearskul, M.D.
• Angela Cheatham
• Alex Bou Chebl, MD
• Hoda Chedid
• Mokbel K. Chedid, M.D.
• Ronald Cheek, MD
• Sheila Marie Cheeks
• Aleena Cheema, MD
• Atif Javed Cheema, MD
• Charan Kanwal Cheema, D.O

• All providers in Detroit, MI
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.