RACHAEL NICOLE NIETLING (NPI# 1194355834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194355834 |
| Entity Type | Individual |
| Full Name | RACHAEL NICOLE NIETLING |
| Credential | CTRS, QIDP |
| Practice Address |
3310 Eagle Park Dr Ne Ste 100 Grand Rapids MI 49525-4574 |
| Practice Telephone | 6168024553 |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2020-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225800000X | Recreation Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
3310 EAGLE PARK DR NE STE 100 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49525-4574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437789120 | Ann Louise Przybysz | Social Worker | 3310 Eagle Park Dr Ne Ste 100, Grand Rapids, MI 49525-4574 | 2020-01-22 |
| 1538791959 | Melissa Gibney | Social Worker | 3310 Eagle Park Dr Ne Ste 100, Grand Rapids, MI 49525-4574 | 2020-02-05 |
| 1568094886 | Carly Ann Mcelreath | Case Manager/Care Coordinator | 3310 Eagle Park Dr Ne Ste 100, Grand Rapids, MI 49525-4574 | 2020-02-05 |
| 1588296909 | Breanna Tousignaut | Social Worker | 3310 Eagle Park Dr Ne Ste 100, Grand Rapids, MI 49525-4574 | 2020-02-05 |
| 1528699485 | Saddie Chiaro | Case Manager/Care Coordinator | 3310 Eagle Park Dr Ne Ste 100, Grand Rapids, MI 49525-4574 | 2020-01-30 |
| 1558992438 | Kirsten Anne Vandermeer | Recreation Therapist | 3310 Eagle Park Dr Ne Ste 100, Grand Rapids, MI 49525-4574 | 2020-01-30 |
| 1750912531 | Brea Kelly | Case Manager/Care Coordinator | 3310 Eagle Park Dr Ne Ste 100, Grand Rapids, MI 49525-4574 | 2020-01-30 |
| 1609407634 | Gerllys Cabral-mota | Social Worker | 3310 Eagle Park Dr Ne Ste 100, Grand Rapids, MI 49525-4574 | 2020-01-29 |
| 1497386429 | Selma Hodzic | Case Manager/Care Coordinator | 3310 Eagle Park Dr Ne Ste 100, Grand Rapids, MI 49525-4574 | 2020-01-29 |
| 1558992586 | Katelyn Marie Shellenbarger | Case Manager/Care Coordinator | 3310 Eagle Park Dr Ne Ste 100, Grand Rapids, MI 49525-4574 | 2020-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1174154645 | Amy Vanderslik | Case Manager/Care Coordinator | 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 | 2020-02-03 |
| 1477195246 | Epic Discoveries LLC | Counselor | 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 | 2019-10-14 |
| 1598228959 | Kim Scherencel Lmsw Counseling | Social Worker | 3280 Beltline Ne, Grand Rapids, MI 49525 | 2019-04-11 |
| 1821558958 | Mindful Trajectories | Social Worker | 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 | 2019-03-24 |
| 1104380518 | Julianne Lettinga, Ma Lpc Counseling | Counselor | 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 | 2019-01-30 |
| 1396227229 | Christopher Scot Doucette | Social Worker | 2064 Airway St Ne, Grand Rapids, MI 49525 | 2018-09-06 |
| 1568976017 | Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry | Dentist | 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 | 2017-11-20 |
| 1407389604 | Kelly Jo Crabb | Social Worker | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 | 2017-04-05 |
| Find all providers in zip 49525 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144837618 | Lisa Glover | Case Manager/Care Coordinator | 1977 Radcliff Ave Se, Grand Rapids, MI 49506-5140 | 2020-09-28 |
| 1861001273 | Erica Curry Van Ee | Case Manager/Care Coordinator | 600 Broadway Ave Nw Apt 224, Grand Rapids, MI 49504-7316 | 2020-07-31 |
| 1174154645 | Amy Vanderslik | Case Manager/Care Coordinator | 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 | 2020-02-03 |
| 1861048811 | Jenelle Marie Dixon | Case Manager/Care Coordinator | 1228 Dunham St Se, Grand Rapids, MI 49506-2630 | 2019-08-15 |
| 1730747700 | Renee Kimberly Howard | Case Manager/Care Coordinator | 939 Mayhew Wood Dr Se, Grand Rapids, MI 49507-3609 | 2019-06-04 |
| 1710543806 | Shannon Marie Blourne | Case Manager/Care Coordinator | 814 Alpine Ave Nw, Grand Rapids, MI 49504-4410 | 2019-05-14 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1508371758 | Vanessa Woodard | Case Manager/Care Coordinator | 1939 S. Division Ave., Grand Rapids, MI 49507 | 2017-12-11 |
| 1407386352 | Keri Megan Laporte-montero | Case Manager/Care Coordinator | 434 Sweet St Ne, Grand Rapids, MI 49505-4762 | 2017-06-14 |
| 1396111241 | Kirsten Elizabeth Tanui | Case Manager/Care Coordinator | 2606 Eastern Ave Se, Grand Rapids, MI 49507-3605 | 2015-08-14 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49525 |
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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.