TIMOTHY GLERUM (NPI# 1255708921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255708921 |
| Entity Type | Individual |
| Full Name | TIMOTHY GLERUM |
| Credential | NP |
| Practice Address |
4100 Lake Dr Se Suite 205 Grand Rapids MI 49546-8292 |
| Mailing Address |
100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6162677414 |
| Practice Fax Number | 6162677137 |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2015-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4704278870 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4100 LAKE DR SE SUITE 205 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-8292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366438632 | Spectrum Health Hospitals | Clinic/Center | 4100 Lake Dr Se, Grand Rapids, MI 49546-8292 | 2005-09-22 |
| 1073146411 | James Walejewski | Specialist/Technologist | 4100 Lake Dr Se, Grand Rapids, MI 49546-8292 | 2020-02-13 |
| 1811458557 | Michelle Kuzma | Specialist/Technologist | 4100 Lake Dr Se, Grand Rapids, MI 49546-8292 | 2019-03-26 |
| 1063943991 | Maggie Anstett | Specialist/Technologist | 4100 Lake Dr Se, Suite 300, Grand Rapids, MI 49546-8292 | 2017-03-22 |
| 1851746671 | Luke Murray | Specialist/Technologist | 4100 Lake Dr Se, Suite 300, Grand Rapids, MI 49546-8292 | 2016-04-29 |
| 1942665237 | Alyssa Susanne Baker | Specialist/Technologist | 4100 Lake Dr Se, Suite 300, Grand Rapids, MI 49546-8292 | 2015-12-31 |
| 1619332806 | Elizabeth Albert | Specialist/Technologist | 4100 Lake Dr Se, Suite 300, Grand Rapids, MI 49546-8292 | 2015-12-15 |
| 1609247618 | Rebecca Preston | Psychologist | 4100 Lake Dr Se, Suite B01, Grand Rapids, MI 49546-8292 | 2015-10-16 |
| 1730556796 | Samantha Ford | Specialist/Technologist | 4100 Lake Dr Se, Grand Rapids, MI 49546-8292 | 2015-08-26 |
| 1659756773 | Daniel Janes | Specialist/Technologist | 4100 Lake Dr Se, Grand Rapids, MI 49546-8292 | 2015-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333938 | Amanda Covell | Nurse Practitioner | 624 Cherry St Se Apt 5, Grand Rapids, MI 49503-4778 | 2020-10-14 |
| 1699315747 | Kevin Hengeveld | Nurse Practitioner | 300 Lafayette Ave Se Ste 2045, Grand Rapids, MI 49503-4692 | 2020-01-07 |
| 1134765027 | Kerri L. Pighetti | Nurse Practitioner | 4829 E Beltline Ave Ne Ste 300, Grand Rapids, MI 49525-9350 | 2019-11-26 |
| 1497398374 | Brittany Pebbles | Nurse Practitioner | 2155 E Paris Ave Se Ste 220, Grand Rapids, MI 49546-6142 | 2019-10-23 |
| 1386205912 | Erica Lea Spalding | Nurse Practitioner | 310 Lafayette Ave Se Ste 400, Grand Rapids, MI 49503-4693 | 2019-06-25 |
| 1184024481 | Kari Jo Hill | Nurse Practitioner | 310 Lafayette Ave Se Ste 415, Grand Rapids, MI 49503-4693 | 2014-08-25 |
| 1861798878 | Julie A Grech | Nurse Practitioner | 221 Michigan Ne, Suite 600, Grand Rapids, MI 49503 | 2011-02-09 |
| 1104121714 | Karen Bliss Harper | Nurse Practitioner | 3230 Eagle Park Dr Ne Ste 200, Heartland Hospice #4624, Grand Rapids, MI 49525-7047 | 2011-01-13 |
| 1235459033 | Sandra Van Brouwer | Nurse Practitioner | 35 Michigan St. Ne, Suite 4150, Grand Rapids, MI 49503-2539 | 2010-06-03 |
| 1225269095 | Connie Ruth Mattice | Nurse Practitioner | 425 Cherry St. S.e, Planned Parenthood Centers of West Michigan, Grand Rapids, MI 49503 | 2009-07-28 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
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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.