JULIE DEBOER (NPI# 1366894891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366894891 |
| Entity Type | Individual |
| Full Name | JULIE DEBOER |
| Credential | REGISTERED NURSE |
| Practice Address |
3584 Fairlanes Ave Sw Suite 2 Grandville MI 49418-1583 |
| Mailing Address |
3584 Fairlanes Ave Suite 2 Grandville MI 49418 |
| Practice Telephone | 6162225300 |
| Practice Fax Number | 6162225309 |
| Mailing Telephone | 6162225300 |
| Mailing Fax Number | 6162225309 |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2016-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
4704137321 | MI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518589555 | Julie Deboer | Counselor | 819 N 49th St Ste 406, Seattle, WA 98103-6577 | 2020-05-13 |
| 1467956128 | Julie Kay Deboer | Physical Therapist | 8333 Felch St, Zeeland, MI 49464-2608 | 2018-03-19 |
| Street Address |
3584 FAIRLANES AVE SW SUITE 2 |
| City | GRANDVILLE |
| State | MI |
| Zip Code | 49418-1583 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275583031 | Marjalize Kirsten | Physical Therapist | 3584 Fairlanes Ave Sw, Grandville, MI 49418-1583 | 2006-05-11 |
| 1942670559 | Crc Recovery, Inc. | Counselor | 3584 Fairlanes Ave Sw, Ste 2, Grandville, MI 49418-1583 | 2015-09-25 |
| 1164847984 | Acton Family Chiropractic, Pllc | Clinic/Center | 3584 Fairlanes Ave Sw, Suite C, Grandville, MI 49418-1583 | 2014-03-03 |
| 1144518705 | Charles Lietz Action Ak Chiropractic Clinic LLC | Chiropractor | 3584 Fairlanes Ave Sw, Grandville, MI 49418-1583 | 2011-07-18 |
| 1346552866 | Scott Anthony Lietz | Chiropractor | 3584 Fairlanes Ave Sw, Grandville, MI 49418-1583 | 2010-07-13 |
| 1568682201 | Charles Michael Lietz | Chiropractor | 3584 Fairlanes Ave Sw, Grandville, MI 49418-1583 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144799669 | Holly Cieslinski | Occupational Therapist | 3550 Fairlines Ave, Grandville, MI 49418 | 2018-11-14 |
| 1639664857 | Athletico Ltd | Physical Therapist | 3819 Rivertown Pkwy Sw Ste 100, Grandville, MI 49418 | 2018-06-29 |
| 1437651916 | Great Lakes Wellness Counseling LLC | Counselor | 2900 Wilson Ave Suite 110, Grandville, MI 49418 | 2018-03-01 |
| 1780111765 | Jenna Sargent | Nurse Practitioner | 2845 44th St Sw, Ste 200, Grandville, MI 49418 | 2017-05-22 |
| 1881132827 | Laura Elizabeth Ramaker | Specialist/Technologist | 2787 Pine Dunes Ct Sw, Wyoming, MI 49418 | 2017-02-10 |
| 1689026130 | Charles Unseld | Hearing Instrument Specialist | O-38 44th St Sw, Grandville, MI 49418 | 2016-07-08 |
| 1972989655 | Laci Dawn Johncock | Physical Therapy Assistant | 2786 56th Street, Wyoming, MI 49418 | 2015-08-05 |
| 1891178570 | Joshua Kolman | Pharmacist | 3434 Century Center Dr Sw, Grandville, MI 49418 | 2015-06-30 |
| 1710368782 | Tracie Medrano- Smith | Family Medicine | 4174 56th St Sw, Wyoming, MI 49418 | 2015-06-15 |
| 1124410808 | Kim Michelle Childress | Counselor | 4565 Wilson Ave Sw Ste 3a, Grandville, MI 49418 | 2015-03-04 |
| Find all providers in zip 49418 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699123471 | Kimberly Wells | Registered Nurse | 519 E Brook Dr, Newaygo, MI 49337-8573 | 2016-06-02 |
| 1023498409 | Kelli Markarian | Registered Nurse | 9101 William St, Taylor, MI 48180-2822 | 2015-06-01 |
| 1881072395 | Gregory Pula | Registered Nurse | 706 Pemberton Ln, Jackson, MI 49203-7127 | 2015-05-16 |
| 1215377304 | Carol Ann Mcneil | Registered Nurse | 2800 Ore Valley Dr, Hartland, MI 48353-2810 | 2013-07-03 |
| 1336321215 | Sandra Marion Stetz | Registered Nurse | 3483 Clintonville Rd, Waterford, MI 48329-2227 | 2007-12-03 |
| 1902088016 | Pam Nemer | Registered Nurse | 7177 Magnolia Ln, Waterford, MI 48327-4421 | 2007-11-30 |
| 1760089148 | Ambor Lynn Sanders | Registered Nurse | 1022 E Main St, Benton Harbor, MI 49022-3036 | 2020-10-08 |
| 1932715778 | Carole A Stacy | Registered Nurse | 2025 S Washington Ave, Lansing, MI 48910-0828 | 2020-09-17 |
| 1932711652 | Renee N/a Pollard | Registered Nurse | 43825 Michigan Ave, Canton, MI 48188-2551 | 2020-08-24 |
| 1427660596 | Larry Scott Fitzgerald | Registered Nurse | 43825 Michigan Ave Ste 1, Canton, MI 48188-2551 | 2020-08-20 |
| Find all providers with the same taxonomy | ||||
| City | GRANDVILLE |
| Zip Code | 49418 |
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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.