MACKENZIE SWANSON (NPI# 1184072134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184072134 |
| Entity Type | Individual |
| Full Name | MACKENZIE SWANSON |
| Credential | DNP |
| Practice Address |
1550 3 Mile Rd Nw Grand Rapids MI 49544-8251 |
| Mailing Address |
2531 Pinesboro Dr Ne Grand Rapids MI 49525-3054 |
| Practice Telephone | 6167853883 |
| Mailing Telephone | 6169159831 |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2016-09-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 4704274227 | MI | Nursing Service Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
4704274227 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1550 3 MILE RD NW |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49544-8251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912373192 | David Edward Mcmahon Jr. | Physical Therapist | 1550 3 Mile Rd Nw, Grand Rapids, MI 49544-8251 | 2015-08-11 |
| 1922400647 | Barbara Mirandette | Physical Therapist | 1550 3 Mile Rd Nw, Suite B, Grand Rapids, MI 49544-8251 | 2014-09-25 |
| 1932520475 | Stacey La Turno | Behavioral Analyst | 1550 3 Mile Rd Nw, Grand Rapids, MI 49544-8251 | 2013-12-31 |
| 1457624942 | Kevin Frederick Churchill | Physical Therapist | 1550 3 Mile Rd Nw, Grand Rapids, MI 49544-8251 | 2012-02-15 |
| 1699053827 | Megan Joy Ipema | Student in an Organized Health Care Education/Training Program | 1550 3 Mile Rd Nw, Grand Rapids, MI 49544-8251 | 2011-07-21 |
| 1811948953 | Kasim Ltd | Clinic/Center | 1550 3 Mile Rd Nw, Suite B, Grand Rapids, MI 49544-8251 | 2006-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764511 | Titiana Shanee Richardson | Social Worker | 113 Lake Michigan Drive Northwest, Grand Rapids, MI 49544 | 2020-09-15 |
| 1699317792 | Leah Grace Nesburg | Speech-Language Pathologist | 600 3 Mile Road Nw, Suite 102, Walker, MI 49544 | 2019-10-10 |
| 1316467954 | Hendrik Vanholsbeeck | Dentist | 2515 Alpine Ave Nw # A, Grand Rapids, MI 49544 | 2017-06-25 |
| 1467988584 | Leah Feenstra | Behavior Technician | 668 3 Mile Nw, Grand Rapids, MI 49544 | 2017-05-10 |
| 1760920698 | Heidi Catherine Stultz-griffey | Pharmacist | 970 4 Mile Rd Nw Apt 1d, Grand Rapids, MI 49544 | 2017-02-12 |
| 1336591791 | Nicole Totten | Dentist | 3320 Alpine Ave., Grand Rapids, MI 49544 | 2016-07-11 |
| 1255789145 | Lucas David Kelley | Technician, Other | 668 3 Mile Ave Nw, Suite 2, Grand Rapids, MI 49544 | 2016-06-01 |
| 1144611666 | Stephen Kornoely | Social Worker | 2118 3 Mile Road Nw, Grand Rapids, MI 49544 | 2015-02-06 |
| 1023368305 | Brian William Rogers | Registered Nurse | 712 North Center Dr. Nw, Grand Rapids, MI 49544 | 2012-09-14 |
| 1477885325 | Wilson and Wynn Interventions | Community/Behavioral Health | 680 Three Mile Nw, Suite 150, Grand Rapids, MI 49544 | 2010-02-03 |
| Find all providers in zip 49544 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154893956 | Jacquelyn Dunn | Nurse Practitioner | 630 Kenmoor Ave Se Ste 102, Grand Rapids, MI 49546-8626 | 2018-12-19 |
| 1558900183 | Kathryn Long | Nurse Practitioner | 1055 Medical Park Dr Se, Grand Rapids, MI 49546-3607 | 2019-12-30 |
| 1134690761 | Koren Gebben | Nurse Practitioner | 1959 East Paris Ave Se, Grand Rapids, MI 49546-6272 | 2018-12-07 |
| 1841775483 | Stacy Lu Allen | Nurse Practitioner | 35 Michigan St Ne Ste 4150, Grand Rapids, MI 49503-2529 | 2018-09-29 |
| 1538654835 | Anna Marie Rykse | Nurse Practitioner | 25 Michigan St Ne Ste 4200, Grand Rapids, MI 49503 | 2018-06-28 |
| 1578065140 | Kallie Rae Kraker | Nurse Practitioner | 4118 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 | 2018-02-28 |
| 1083122790 | Christopher Michael Bouma | Nurse Practitioner | 300 68th St Se, Grand Rapids, MI 49548-6927 | 2018-01-16 |
| 1144732850 | Michelle Kristine Buist | Nurse Practitioner | 35 Michigan St Ne, Grand Rapids, MI 49503-2514 | 2017-11-03 |
| 1952810830 | Kaitlin Jane Hendriksma | Nurse Practitioner | 550 Cherry St Se, Grand Rapids, MI 49503-4748 | 2017-09-24 |
| 1962954354 | Samantha Lynne Wylie | Nurse Practitioner | 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503-2528 | 2016-11-01 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49544 |
Please comment or provide details below to improve the information on MACKENZIE SWANSON.
| 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.