MR. KEVIN JOHN WALTERS (NPI# 1124650262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124650262 |
Entity Type | Individual |
Full Name | MR. KEVIN JOHN WALTERS |
Credential | LPN |
Practice Address |
3097 Prairie St Sw Grandville MI 49418-2000 |
Practice Telephone | 6165319973 |
Mailing Telephone | 6165319973 |
Enumeration Date | 2020-02-06 |
Last Update Date | 2020-02-06 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 164W00000X | Licensed Practical Nurse | 4703079623 | MI | Nursing Service Providers |
N | 251E00000X | Home Health | 1649257734 | MI | Agencies |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528504800 | Kevin Walters | Counselor | 200 N Anderson Ln, Lindon, UT 84042-1110 | 2017-01-11 |
1932426376 | Kevin C Walters | Emergency Medicine | 6451 Brentwood Stair Rd, Suite 200, Fort Worth, TX 76112-3200 | 2010-04-26 |
1235276700 | Kevin Craig Walters | Preventive Medicine | 2400 Lancaster Dr Ne, Salem, OR 97305-1221 | 2007-01-31 |
1770524035 | Kevin L Walters | Family Medicine | 4 Deerwood Ave Nw, Tri-county Health Care Wadena Clinic, Wadena, MN 56482-1296 | 2006-06-09 |
1134124985 | Kevin Lee Walters | Physical Therapist | 809 W Harwood Rd, Ste 103, Hurst, TX 76054-3289 | 2005-06-17 |
Street Address |
3097 PRAIRIE ST SW |
City | GRANDVILLE |
State | MI |
Zip Code | 49418-2000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649257734 | Treece Home Care Inc | Home Health | 3097 Prairie St Sw, Grandville, MI 49418-2000 | 2005-12-29 |
1568095412 | Patricia Lynn Reed | Registered Nurse | 3097 Prairie St Sw, Grandville, MI 49418-2000 | 2020-02-19 |
1326671868 | Julie A Langerak | Registered Nurse | 3097 Prairie St Sw, Grandville, MI 49418-2000 | 2020-02-12 |
1679105381 | Jackie A Bouwman | Registered Nurse | 3097 Prairie St Sw, Grandville, MI 49418-2000 | 2020-02-11 |
1891327433 | Kristen Gray | Physical Therapist | 3097 Prairie St Sw, Grandville, MI 49418-2000 | 2020-02-11 |
1174155048 | Esmeralda Mclenithan | Licensed Practical Nurse | 3097 Prairie St Sw, Grandville, MI 49418-2000 | 2020-02-10 |
1578195327 | Louise Iveren Orkar | Registered Nurse | 3097 Prairie St Sw, Grandville, MI 49418-2000 | 2020-02-10 |
1396377230 | Jenna Kandow | Registered Nurse | 3097 Prairie St Sw, Grandville, MI 49418-2000 | 2020-02-09 |
1629600549 | Mary Ann Driggers | Registered Nurse | 3097 Prairie St Sw, Grandville, MI 49418-2000 | 2020-02-08 |
1962034850 | Kelly Ellen Dewent | Registered Nurse | 3097 Prairie St Sw, Grandville, MI 49418-2000 | 2020-02-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144799669 | Holly Cieslinski | Occupational Therapist | 3550 Fairlines Ave, Grandville, MI 49418 | 2018-11-14 |
1639664857 | Athletico Ltd | Physical Therapist | 3819 Rivertown Pkwy Sw Ste 100, Grandville, MI 49418 | 2018-06-29 |
1437651916 | Great Lakes Wellness Counseling LLC | Counselor | 2900 Wilson Ave Suite 110, Grandville, MI 49418 | 2018-03-01 |
1780111765 | Jenna Sargent | Nurse Practitioner | 2845 44th St Sw, Ste 200, Grandville, MI 49418 | 2017-05-22 |
1881132827 | Laura Elizabeth Ramaker | Specialist/Technologist | 2787 Pine Dunes Ct Sw, Wyoming, MI 49418 | 2017-02-10 |
1689026130 | Charles Unseld | Hearing Instrument Specialist | O-38 44th St Sw, Grandville, MI 49418 | 2016-07-08 |
1972989655 | Laci Dawn Johncock | Physical Therapy Assistant | 2786 56th Street, Wyoming, MI 49418 | 2015-08-05 |
1891178570 | Joshua Kolman | Pharmacist | 3434 Century Center Dr Sw, Grandville, MI 49418 | 2015-06-30 |
1710368782 | Tracie Medrano- Smith | Family Medicine | 4174 56th St Sw, Wyoming, MI 49418 | 2015-06-15 |
1124410808 | Kim Michelle Childress | Counselor | 4565 Wilson Ave Sw Ste 3a, Grandville, MI 49418 | 2015-03-04 |
Find all providers in zip 49418 |
Taxonomy Code | 164W00000X |
Grouping | Nursing Service Providers |
Classification | Licensed Practical Nurse |
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902361728 | Andrea Leigh Simon | Licensed Practical Nurse | 3584 Fairlanes Ave Sw Ste 2, Grandville, MI 49418-1583 | 2019-02-06 |
1073029724 | Sarah Meyerdirk | Licensed Practical Nurse | 4900 8th Ave Sw, Grandville, MI 49418-9641 | 2017-12-18 |
1376994830 | Lisa Hamilton | Licensed Practical Nurse | 3975 N Big Spring Dr Sw, Grandville, MI 49418-1821 | 2016-06-27 |
1174155048 | Esmeralda Mclenithan | Licensed Practical Nurse | 3097 Prairie St Sw, Grandville, MI 49418-2000 | 2020-02-10 |
1245861699 | Susan Ruth Branon | Licensed Practical Nurse | 3097 Prairie St Sw, Grandville, MI 49418-2000 | 2020-02-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730789546 | Lashonda S Noble | Licensed Practical Nurse | 21107 Lahser Rd, Southfield, MI 48033-4400 | 2020-10-30 |
1841890670 | Danielle Berry | Licensed Practical Nurse | 58 Murray St Se, Grand Rapids, MI 49548-3304 | 2020-10-30 |
1053911719 | Margaret Theresa Fry | Licensed Practical Nurse | 4929 Cedarview St Apt 2c, Ypsilanti, MI 48197-5029 | 2020-10-30 |
1821697095 | Andrew Onyemaechi Onyeanula | Licensed Practical Nurse | 8281 Woodcrest Dr Apt 2, Westland, MI 48185-1238 | 2020-10-20 |
1255948121 | Nikki Leonard | Licensed Practical Nurse | 806 Chartier, Marine City, MI 48039-2319 | 2020-09-25 |
1235746033 | Roberta A Thomas | Licensed Practical Nurse | 399 S Union St Apt 15, Sparta, MI 49345-1534 | 2020-09-25 |
1821604562 | Wendy Lynne Hughes | Licensed Practical Nurse | 2025 S Washington Ave Suite 210 Lansing, Mi 48910, Lansing, MI 48910 | 2020-09-18 |
1043824519 | Linda Hershberger | Licensed Practical Nurse | 219 Lane St, Mendon, MI 49072-9630 | 2020-09-02 |
1861006538 | David Bradley | Licensed Practical Nurse | 15540 Prevost St, Detroit, MI 48227-1963 | 2020-09-01 |
1215540430 | Sheronda Lanetta Blackmon | Licensed Practical Nurse | 13929 Harper Ave., Detroit, MI 48213 | 2020-08-27 |
Find all providers with the same taxonomy |
City | GRANDVILLE |
Zip Code | 49418 |
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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.