GLEN VANDERSCHAAF (NPI# 1225596968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225596968 |
| Entity Type | Individual |
| Full Name | GLEN VANDERSCHAAF |
| Credential | NP |
| Practice Address |
1525 E Beltline Ave Ne Ste 102 Grand Rapids MI 49525-4598 |
| Practice Telephone | 6163630055 |
| Mailing Telephone | 6163630055 |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2019-03-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704305626 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1525 E BELTLINE AVE NE STE 102 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49525-4598 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750463816 | Amy Catherine Hollen | Family Medicine | 1525 E Beltline Ave Ne Ste 102, Grand Rapids, MI 49525 | 2006-10-19 |
| 1063977528 | Hollen Family Medicine, Pllc | Family Medicine | 1525 E Beltline Ave Ne Ste 102, Grand Rapids, MI 49525-4598 | 2019-02-08 |
| 1407028608 | Nancy J Brooke Md PC | Allergy & Immunology | 1525 E Beltline Ave Ne Ste 102, Grand Rapids, MI 49525-4598 | 2008-03-27 |
| 1013056464 | Jill Marie-ellis Schmidt | Physician Assistant | 1525 E Beltline Ave Ne Ste 102, Grand Rapids, MI 49525 | 2007-02-05 |
| 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 | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253654 | Caleb S Parks | Nurse Practitioner | 1911 Hutchinson Ave Se, Grand Rapids, MI 49506-4614 | 2020-10-20 |
| 1689271272 | Karen J Goehring | Nurse Practitioner | 625 Kenmoor Ave Se Ste 115, Grand Rapids, MI 49546-2395 | 2020-10-06 |
| 1043859846 | Erika J Mehney | Nurse Practitioner | 2136 Chesaning Dr Se, Grand Rapids, MI 49506-5311 | 2019-12-27 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1104460633 | Margaret Masters | Nurse Practitioner | 2749 Brooklyn Ave Se, Grand Rapids, MI 49507-3938 | 2019-10-28 |
| 1366085474 | Jenna Shoemaker | Nurse Practitioner | 139 Manzana Ct Nw Apt 3b, Grand Rapids, MI 49534-7124 | 2019-10-21 |
| 1073163846 | Jo-leighanne Marie Pascoe | Nurse Practitioner | 555 Midtowne St Ne Ste 400, Grand Rapids, MI 49503-5731 | 2019-09-13 |
| 1710531686 | Emily Wilson | Nurse Practitioner | 445 Mulford Dr Se, Grand Rapids, MI 49507-3568 | 2019-07-30 |
| 1245882703 | Rebecca Lauren Veneklase | Nurse Practitioner | 143 Lane Ave Sw, Grand Rapids, MI 49504-6172 | 2019-07-15 |
| 1871151613 | Nicole Spratling | Nurse Practitioner | 1000 East Paris Ave Se Ste 230, Grand Rapids, MI 49546-3680 | 2019-06-05 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49525 |
Please comment or provide details below to improve the information on GLEN VANDERSCHAAF.
| 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.