MRS. SHELLIANN MARIE ENDLINE (NPI# 1275682437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275682437 |
| Entity Type | Individual |
| Full Name | MRS. SHELLIANN MARIE ENDLINE |
| Other Name | MS. SHEILLIANN MARIE THREADGILL |
| Credential | NP |
| Practice Address |
3923 28th St Se Suite 374 Grand Rapids MI 49512-1805 |
| Mailing Address |
333 Commerce St Suite 700 Nashville TN 37201-1826 |
| Practice Telephone | 8777026863 |
| Practice Fax Number | 8447490990 |
| Mailing Telephone | 6156272293 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2016-11-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4704176891 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4560345 10 | 05 | |
| MI | BCBSM PC | 50-0-87-0197-0 | 01 |
| Street Address |
3923 28TH ST SE SUITE 374 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49512-1805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184165995 | Amy Marie Read | Nurse Practitioner | 3923 28th St Se, Suite 374, Grand Rapids, MI 49512-1805 | 2017-03-13 |
| 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 |
| 1194248815 | Melinda Huizenga | Registered Nurse | 5300 Patterson Ave Se Ste 125, Grand Rapids, MI 49512 | 2017-07-25 |
| 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 |
| Find all providers in zip 49512 | ||||
| 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 | 49512 |
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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.