Individual provider Active NPI

Lynda Lu Hulst, MD

  • Family Medicine Physician
  • Grand Rapids, MI
National Provider Identifier
1811942519
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301080074 Issued in MI
Practice address
2000 Leonard St NE
Grand Rapids, MI 49505-5837
Phone
(616) 648-9435
NPI assigned
May 23, 2006
Last updated
Mar 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301080074 MI Primary

Addresses

Primary practice location

2000 Leonard St NE
Grand Rapids, MI 49505-5837

Mailing address

2432 Santa Monica Dr SE
East Grand Rapids, MI 49506-3548
Phone (616) 648-9435

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050804000896 MI Practitioner - Family Practice 6305875881 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301080074MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health of Michigan PLLC CurrentSince Jan 31, 2024 Accepting new patients
LTC Physician Care PC CurrentSince May 25, 2023 Accepting new patients
Mary Free Bed Rehabilitation Hospital PastSince Nov 9, 2010 Accepting new patients
Grand Rapids Opco, LLC Past Accepting new patients
Advantage Health Physicians PC Family Medicine Past Accepting new patients

Locations

18200 W 13 Mile Rd
Beverly Hills, MI 48025
Phone (248) 647-6500

42235 County Road 390
Bloomingdale, MI 49026
Phone (269) 521-3383

15063 Gratiot Ave
Detroit, MI 48205
Phone (313) 372-4065

2102 Orleans St
Detroit, MI 48207
Phone (313) 462-4362

400 Renaissance Ctr
Ste 2600
Detroit, MI 48243
Phone (248) 599-1582

2000 Leonard St NE
Grand Rapids, MI 49505
Phone (616) 458-1133

3830 Okemos Rd
Okemos, MI 48864
Phone (517) 706-0300

2060 Health Dr SW
Wyoming, MI 49519
Phone (616) 333-1200

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1811942519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2432 SANTA MONICA DR SE",
            "city": "EAST GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495063548",
            "telephone_number": "616-648-9435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 LEONARD ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495055837",
            "telephone_number": "616-648-9435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULST",
        "first_name": "LYNDA",
        "middle_name": "LU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301080074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.