MELINDA HUIZENGA (NPI# 1194248815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194248815 |
Entity Type | Individual |
Full Name | MELINDA HUIZENGA |
Credential | RN |
Practice Address |
5300 Patterson Ave Se Ste 125 Grand Rapids MI 49512 |
Mailing Address |
5300 Patterson Ave Se Ste 125 Grand Rapids MI 49512-9627 |
Practice Telephone | (616) 222-5601 |
Practice Fax Number | 8669417479 |
Mailing Telephone | 6162225601 |
Mailing Fax Number | 8669417479 |
Enumeration Date | 2017-07-25 |
Last Update Date | 2017-07-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
4704295830 | MI | Nursing Service Providers |
Street Address |
5300 PATTERSON AVE SE STE 125 |
City | GRAND RAPIDS |
State | MI |
Zip Code | 49512 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902423940 | Christine Michelle Nash | Registered Nurse | 5300 Patterson Ave Se Ste 125, Grand Rapids, MI 49512-9627 | 2020-06-25 |
1407315021 | Rita Marie Gage | Licensed Practical Nurse | 5300 Patterson Ave Se Ste 125, Grand Rapids, MI 49512-9627 | 2019-03-13 |
1518479435 | Kimberly Lynn Kiley | Licensed Practical Nurse | 5300 Patterson Ave Se Ste 125, Grand Rapids, MI 49512-9627 | 2017-11-01 |
1992215487 | Catherine Susan Carelli | Registered Nurse | 5300 Patterson Ave Se Ste 125, Grand Rapids, MI 49512-9627 | 2017-10-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649757071 | St. Lukes Primary Care | Family Medicine | 5300 Patterson Ave Se Ste 1-d, Grand Rapids, MI 49512 | 2018-07-27 |
1013493733 | Pharmascript of Michigan Gr LLC | Pharmacy | 2661 29th St. Se Suite A, Grand Rapids, MI 49512 | 2018-07-16 |
1245736040 | Cassandra Slater | Technician, Other | 2925 Breton Rd Se, Grand Rapids, MI 49512 | 2018-04-02 |
1235632704 | John Mitchell Tanja | Occupational Therapist | 3350 Broadmoor Avenue Se, Grand Rapids, MI 49512 | 2018-03-12 |
1952829855 | Sarah Harlow | Physical Therapist | 2951 44th St Se, Kentwood, MI 49512 | 2017-08-31 |
1659812931 | Frantzie Pierre | Counselor | 3300 S Creek Dr Se Apt 201, Kentwood, MI 49512 | 2017-03-20 |
1104128602 | Hope Network Behavioral Health Services | Psychiatry & Neurology | 3361 36th Street, Grand Rapids, MI 49512 | 2010-12-03 |
1518282631 | Melanie Anne Hogeterp | Social Worker | 3180 East Paris Se, Kentwood, MI 49512 | 2010-03-31 |
1013147495 | Ardean Beth Brock-vanderwall | Counselor | 2828 Kraft Ave., Grand Rapids, MI 49512 | 2009-07-20 |
1427294909 | Marcia Rappleye | Counselor | 3250 36th St Se, Grand Rapids, MI 49512 | 2009-01-05 |
Find all providers in zip 49512 |
Taxonomy Code | 163WH0200X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Home Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649772732 | Sue Woods | Registered Nurse | 5362 Eastern Ave Se, Grand Rapids, MI 49508-6018 | 2018-03-05 |
1073606059 | Lois R Dykstra | Registered Nurse | 3019 Coit Ne, Grand Rapids, MI 49505 | 2006-10-02 |
1952318479 | Judy Ann Martyn | Registered Nurse | 3795 4 Mile Rd Ne, Grand Rapids, MI 49525-9713 | 2006-08-01 |
1093314643 | Robin Renee Parks | Registered Nurse | 4150 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 | 2020-10-23 |
1093314817 | Dawn V E Minnesma | Registered Nurse | 4150 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 | 2020-10-22 |
1700499563 | Barbara Scothorn | Registered Nurse | 4150 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 | 2020-08-31 |
1902423940 | Christine Michelle Nash | Registered Nurse | 5300 Patterson Ave Se Ste 125, Grand Rapids, MI 49512-9627 | 2020-06-25 |
1992215487 | Catherine Susan Carelli | Registered Nurse | 5300 Patterson Ave Se Ste 125, Grand Rapids, MI 49512-9627 | 2017-10-10 |
1427592393 | Sara Burnett | Registered Nurse | 2627 E Beltline Ave Se Ste 210, Grand Rapids, MI 49546-5937 | 2016-12-13 |
1124562178 | Christine Ann Dodge | Registered Nurse | 2627 E Beltline Ave Se, Grand Rapids, MI 49546-5975 | 2016-12-09 |
Find all providers in GRAND RAPIDS |
City | GRAND RAPIDS |
Zip Code | 49512 |
Please comment or provide details below to improve the information on MELINDA HUIZENGA.
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.