Active NPI
Colleen Hanna Kinaia, MSN, FNP-BC
- Family Nurse Practitioner
- Hazel Park, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704323205
- Practice address
- 624 E 9 Mile Rd
Hazel Park, MI 48030-1842 - Phone
- (248) 629-7497
- Fax
- (248) 397-8474
- NPI assigned
- Mar 7, 2023
- Last updated
- Mar 14, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2022140880 | MI | |
| Family Nurse Practitioner | 363LF0000X | 4704323205 | MI | Primary |
Addresses
Primary practice location
624 E 9 Mile Rd
Hazel Park, MI 48030-1842
Mailing address
624 E 9 Mile Rd
Hazel Park, MI 48030-1842
Phone (248) 629-7497
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2102 Orleans St
Detroit, MI 48207-2769
Phone (337) 991-9276
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022140880 | MI | MD | Family Nurse Practitioner |
| 4704323205 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hazel Park Primary Care LLC | Current | Accepting new patients | |
| Get Well Urgent Care Downriver PLC | Current | Accepting new patients | |
| Curana Health of Michigan PLLC | Current | Accepting new patients | |
| Hoover Urgent Care of Warren PLLC | Current | Accepting new patients |
Locations
400 Renaissance Ctr
Detroit, MI 48243
Phone (318) 252-8839
400 Renaissance Ctr
Ste 2600
Detroit, MI 48243
Phone (248) 599-1582
2000 Leonard St NE
Grand Rapids, MI 49505
Phone (616) 458-1133
624 E 9 Mile Rd
Hazel Park, MI 48030
Phone (248) 268-2566
624 E 9 Mile Rd
Ste B
Hazel Park, MI 48030
Phone (248) 629-7497
1770 Fort St
Lincoln Park, MI 48146
Phone (313) 406-4413
3830 Okemos Rd
Okemos, MI 48864
Phone (517) 706-0300
26000 Hoover Rd
Warren, MI 48089
Phone (586) 722-0707
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1609569169
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1659921278
-
- Urgent Care Clinic/Center
- Lincoln Park, MI
- NPI 1578035317
-
- Urgent Care Clinic/Center
- Warren, MI
- NPI 1821351610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678752000000",
"number": "1972203024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "624 E 9 MILE RD",
"city": "HAZEL PARK",
"state": "MI",
"postal_code": "480301842",
"telephone_number": "248-629-7497",
"fax_number": "248-397-8474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 E 9 MILE RD",
"city": "HAZEL PARK",
"state": "MI",
"postal_code": "480301842",
"telephone_number": "248-629-7497",
"fax_number": "248-397-8474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINAIA",
"first_name": "COLLEEN",
"middle_name": "HANNA",
"credential": "MSN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-07",
"last_updated": "2023-03-14",
"certification_date": "2023-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "2022140880",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704323205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hazel Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.