LILY UPP
NPI 1356108567
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since March 04, 2024PECOS Enrolled
2799 W GRAND BLVD, DETROIT, MI 48202(313) 916-2600 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lily Upp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LILY UPP (NPI 1356108567) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356108567
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLILY UPP
Location Address2799 W GRAND BLVDDetroit, MI 48202-2608
Mailing Address2799 W Grand BlvdDetroit, MI 48202-2608
Sole ProprietorNo
Enumeration DateMarch 4, 2024
Last NPPES UpdateApril 29, 2025
NPPES CertifiedApril 29, 2025
NPI 1356108567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2799 W GRAND BLVD, Detroit, MI 48202

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lily Upp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Women's Health)
2799 W GRAND BLVD
DETROIT, MI 48202
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
2799 W GRAND BLVD, WP-1102A
DETROIT, MI 48202
Pathology (Anatomic Pathology & Clinical Pathology)
2799 W GRAND BLVD
DETROIT, MI 48202
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD, HENRY FORD DEPT. OF RADIOLOGY
DETROIT, MI 48202
Physician Assistant
2799 W GRAND BLVD
DETROIT, MI 48202
Internal Medicine (Infectious Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD, DEPT OF DIAGNOSTIC RADIOLOGY
DETROIT, MI 48202
Psychiatry & Neurology (Psychiatry)
2799 W GRAND BLVD, DEPARTMENT OF BEHAVORIAL HEALTH
DETROIT, MI 48202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lily Upp's NPI number?

The NPI number for Lily Upp is 1356108567. It was assigned to this individual provider in the NPPES registry on March 4, 2024.

Where is Lily Upp located?

Lily Upp practices at 2799 W Grand Blvd, Detroit, MI 48202. The listed phone number is (313) 916-2600.

What is Lily Upp's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Lily Upp enrolled in Medicare?

Yes. Lily Upp is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lily Upp was last updated on April 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.