CAROL IRENE TENEYCK (NPI# 1255461687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255461687 |
| Entity Type | Individual |
| Full Name | CAROL IRENE TENEYCK |
| Credential | NP |
| Practice Address |
230 Michigan St Ne Suite 230 Grand Rapids MI 49503-2550 |
| Mailing Address |
100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6167742822 |
| Practice Fax Number | 6163918665 |
| Mailing Telephone | 6167742822 |
| Mailing Fax Number | 6163918665 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2013-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 4704119230 | MI | Nursing Service Providers |
| N | 363L00000X | Nurse Practitioner | 4704119230 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364SM0705X |
Clinical Nurse Specialist Specialization: Medical-Surgical |
4704119230 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4984741 | 05 | |
| MI | BCBSM | 500D111930 / 876270 | 01 |
| Street Address |
230 MICHIGAN ST NE SUITE 230 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-2550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972507911 | John Patrick Lagrand | Obstetrics & Gynecology | 230 Michigan St Ne, Ste 102, Grand Rapids, MI 49503-2550 | 2005-06-08 |
| 1609480219 | Amanda L Tomes | Clinical Nurse Specialist | 230 Michigan St Ne, Grand Rapids, MI 49503-2550 | 2020-09-01 |
| 1043871270 | Allyson Lenn Hunt | Internal Medicine | 230 Michigan St Ne, Grand Rapids, MI 49503-2550 | 2019-06-27 |
| 1912401746 | Eric David Lueck | Physical Therapist | 230 Michigan St Ne, Grand Rapids, MI 49503-2550 | 2018-03-19 |
| 1902300734 | Sandra Frantz | Physical Therapist | 230 Michigan St Ne, Grand Rapids, MI 49503-2550 | 2018-03-19 |
| 1326599671 | Spectrum Health Primary Care Partners | Dietitian, Registered | 230 Michigan St Ne, Suite 101, Grand Rapids, MI 49503-2550 | 2016-10-21 |
| 1801247697 | Curtis Joseph Behenna | Internal Medicine | 230 Michigan St Ne, Grand Rapids, MI 49503 | 2016-06-23 |
| 1467869859 | Katherine Defouw | Nurse Practitioner | 230 Michigan St Ne, Suite 230, Grand Rapids, MI 49503-2550 | 2014-07-17 |
| 1649515867 | Holly N. Fiddler | Physician Assistant | 230 Michigan St Ne, Suite 300, Grand Rapids, MI 49503-2550 | 2012-11-28 |
| 1417228305 | Amanda L Kelly | Physician Assistant | 230 Michigan St Ne, Suite 230, Grand Rapids, MI 49503-2550 | 2012-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| Taxonomy Code | 364SM0705X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750933644 | Caroline Maass | Clinical Nurse Specialist | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2019-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841277597 | Anita M Juriga | Clinical Nurse Specialist | 4600 Investment Drive, Suite 200, Troy, MI 48098 | 2005-12-23 |
| City | GRAND RAPIDS |
| Zip Code | 49503 |
Please comment or provide details below to improve the information on CAROL IRENE TENEYCK.
| 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.