BETHANY ANNE HARTRUM (NPI# 1093842759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093842759 |
| Entity Type | Individual |
| Full Name | BETHANY ANNE HARTRUM |
| Credential | NURSE PRACTITIONER |
| Practice Address |
7 Atkinson Dr Ludington MI 49431-1953 |
| Mailing Address |
100 Michigan St Ne # Mc845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 2318433487 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-01-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704152187 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 72 Sheldon Blvd Se, Grand Rapids, MI 495034234 | 6169888774 | 6169888775 |
| Street Address |
7 ATKINSON DR |
| City | LUDINGTON |
| State | MI |
| Zip Code | 49431-1953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154328573 | Sonya C Camilli | Physician Assistant | 7 Atkinson Dr, Ludington, MI 49431-1953 | 2005-06-30 |
| 1528699006 | Spectrum Health Primary Care Partners | Physician Assistant | 7 Atkinson Dr, Ludington, MI 49431-1953 | 2020-02-03 |
| 1982063210 | Memorial Medical Center of West Michigan | Clinic/Center | 7 Atkinson Dr, Ludington, MI 49431-1953 | 2016-02-15 |
| 1063684769 | Bryan Anthony Kovas | Internal Medicine | 7 Atkinson Dr, Ludington, MI 49431-1953 | 2008-04-02 |
| 1205997749 | Kent Vision Centers Inc | Optometrist | 7 Atkinson Dr, Suite 115, Ludington, MI 49431-1953 | 2006-12-12 |
| 1326155144 | Zane M Knoer | Internal Medicine | 7 Atkinson Dr, Ludington, MI 49431-1953 | 2006-08-25 |
| 1851313878 | Luanne Parks | Nurse Practitioner | 7 Atkinson Dr, Ludington, MI 49431-1953 | 2006-07-25 |
| 1417909102 | Carol E Peterson | Internal Medicine | 7 Atkinson Dr, Suite 115, Ludington, MI 49431-1953 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972006690 | Marti Miller | Physical Therapist | 5916 Iris Rd., Ludington, MI 49431 | 2018-03-09 |
| 1700258670 | Leslie Hahn Ezdebski | Registered Nurse | 318 River St., Suite B, Manistee, MI 49431 | 2015-10-30 |
| 1477888618 | Kathleen M Tooman | Orthotic Fitter | 901 E Tinkham Avenue, Ludington, MI 49431 | 2009-10-06 |
| 1790831592 | Roger Edgren Ostling | Social Worker | 1027 N Rath, Ludington, MI 49431 | 2007-01-25 |
| 1487734364 | Kathryn Jean Niemeyer | Nurse Practitioner | 5 Atkinson Drive, Suite #207, Ludington, MI 49431 | 2006-10-16 |
| 1609986405 | Vivek Thakore | Clinic/Center | 5511 West Us 10 Hwy, Ludington, MI 49431 | 2006-08-30 |
| 1295747756 | Barbara Sleder | Nurse Practitioner | 1 North Atkinson Dr, Ludington, MI 49431 | 2006-08-13 |
| 1083653893 | William L Ingle Dc | Chiropractor | 321 N Jebavy Drive, Ludington, MI 49431 | 2006-06-06 |
| 1366429706 | Andrew S Riemer | Ophthalmology | 5959 Lawndale St, Ludington, MI 49431 | 2005-12-28 |
| 1699240085 | Toby Wessel, Lmsw, Pllc | Social Worker | 612 Sherman Oaks Dr, Ludington, MI 49431 | 2018-10-11 |
| Find all providers in zip 49431 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275974628 | Dawn Erin Gebhart | Nurse Practitioner | 329 N Jebavy Dr, Ludington, MI 49431-1923 | 2013-07-15 |
| 1598963605 | Richard S York Md PC | Nurse Practitioner | 5 N Atkinson Dr Ste 201, Ludington, MI 49431-2918 | 2007-07-10 |
| 1295747756 | Barbara Sleder | Nurse Practitioner | 1 North Atkinson Dr, Ludington, MI 49431 | 2006-08-13 |
| 1134738339 | Gabrielle Marie Lindbloom | Nurse Practitioner | 329 N Jebavy Dr, Ludington, MI 49431-1923 | 2020-07-24 |
| 1225389281 | Christina Marie Simone | Nurse Practitioner | 7 N Atkinson Dr, Suite 111, Ludington, MI 49431-1953 | 2012-09-30 |
| 1720138217 | Gene Lynn Olsen | Nurse Practitioner | 1 N Atkinson Dr, Emergency Dept., Memorial Medical Center, Ludington, MI 49431-1906 | 2007-01-10 |
| 1154409027 | Cheryl M York | Nurse Practitioner | 5 N Atkinson Dr, Suite 201, Ludington, MI 49431-2918 | 2006-11-01 |
| 1851313878 | Luanne Parks | Nurse Practitioner | 7 Atkinson Dr, Ludington, MI 49431-1953 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972339 | Zeinab Berjaoui | Nurse Practitioner | 11496 Newbern Dr, Warren, MI 48093-2613 | 2020-11-08 |
| 1134720899 | Whitney Ashton Mervau | Nurse Practitioner | 3836 Haven Hill Ln, Williamsburg, MI 49690-9536 | 2020-11-07 |
| 1063013837 | Amy Lynn Wadsworth | Nurse Practitioner | 9259 Chambord Dr, Ypsilanti, MI 48197-9281 | 2020-11-06 |
| 1821699844 | Michelle Daldine | Nurse Practitioner | 38481 Gail St, Clinton Township, MI 48036-1823 | 2020-11-05 |
| 1710588876 | Coty Cole | Nurse Practitioner | 2065 South Center Rd, Ste A, Burton, MI 48519 | 2020-11-05 |
| 1205437175 | Michelle Jo Whitesel | Nurse Practitioner | 5861 Shadow Pines Ct, Howell, MI 48843-7130 | 2020-11-05 |
| 1326649617 | Melinda Lee Hawley | Nurse Practitioner | 4019 Stark Dr, West Branch, MI 48661-9633 | 2020-11-04 |
| 1720689193 | Mohammed Louthfur Rahman | Nurse Practitioner | Hoover Internal Medicine Pllc, 2930 Holbrook St, Hamtramck, MI 48212 | 2020-11-03 |
| 1619578234 | Devon Kruger | Nurse Practitioner | 4612 W David Hwy, Saranac, MI 48881-9740 | 2020-11-02 |
| 1760083208 | Ramonna Van Alstine | Nurse Practitioner | 13932 Fox Ridge Ln, Allenton, MI 48002-4525 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.