RENEE JULIA UPDEGRAVE (NPI# 1366915795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366915795 |
| Entity Type | Individual |
| Full Name | RENEE JULIA UPDEGRAVE |
| Credential | CRNP |
| Practice Address |
280 Middle Holland Rd Holland PA 18966-4822 |
| Mailing Address |
62 Bogey Cir Doylestown PA 18901-2881 |
| Practice Telephone | 2153226100 |
| Mailing Telephone | 2158339600 |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2019-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP019690 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
280 MIDDLE HOLLAND RD |
| City | HOLLAND |
| State | PA |
| Zip Code | 18966-4822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134747033 | Twining Village Snf Operating Company LLC | Skilled Nursing Facility | 280 Middle Holland Rd, Holland, PA 18966-4822 | 2020-07-08 |
| 1447714084 | Richard Kwiatkowski Jr. | Speech-Language Pathologist | 280 Middle Holland Rd, Holland, PA 18966-4822 | 2019-01-28 |
| 1851866792 | Jasmine Goshil Joy | Nurse Practitioner | 280 Middle Holland Rd, Holland, PA 18966-4820 | 2018-10-08 |
| 1003307505 | Nadia Makarenko | Physical Therapist | 280 Middle Holland Rd, Holland, PA 18966-4822 | 2018-05-21 |
| 1558868943 | Kandace Kiskurno | Physical Therapy Assistant | 280 Middle Holland Rd, Holland, PA 18966-4822 | 2018-04-11 |
| 1376049635 | Shijo Alias | Physical Therapy Assistant | 280 Middle Holland Rd, Holland, PA 18966-4822 | 2018-04-04 |
| 1083133409 | Bianca Antoinette Login | Speech-Language Pathologist | 280 Middle Holland Rd, Holland, PA 18966-4822 | 2017-09-18 |
| 1689119794 | Diakon Medical Group LLC | Clinic/Center | 280 Middle Holland Rd, Holland, PA 18966-4822 | 2016-12-28 |
| 1386199735 | Colleen Kempf | Speech-Language Pathologist | 280 Middle Holland Rd, Holland, PA 18966-4822 | 2016-08-15 |
| 1982054961 | Karyn Vercoe | Speech-Language Pathologist | 280 Middle Holland Rd, Holland, PA 18966-4822 | 2016-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033758636 | Nancy Rubin | Speech-Language Pathologist | Nancy Rubin, 32 Brook Drive, Southampton, PA 18966 | 2019-12-30 |
| 1265970669 | Dominic Bogucki | Specialist/Technologist | 75 Meadowfield Dr, Southampton, PA 18966 | 2017-02-06 |
| 1518404359 | Amanda Phillips | Social Worker | 504 Lakeside Office Park, Suite 504, Southampton, PA 18966 | 2017-01-31 |
| 1386988830 | Sara Beth Bergman | Occupational Therapy Assistant | 1354 Hi View Drive, Southampton, PA 18966 | 2012-11-22 |
| 1326325523 | Annie Varughese | Pharmacist | 139 Lark Dr, Holland, PA 18966 | 2011-11-16 |
| 1912284993 | Christine Renee Nichols | Social Worker | 1030 Second Street Pike, Southampton, PA 18966 | 2011-11-04 |
| 1407134125 | Apex Smiles LLC | Dentist | 771 2nd Street Pike, Southampton, PA 18966 | 2011-07-29 |
| 1790092708 | The Comprehensive Learning Center, Inc. | Community/Behavioral Health | 150 James Way, Southampton, PA 18966 | 2010-09-13 |
| 1861713786 | Austin Patrick Daly | Dentist | 404 Lakeside Park, Southampton, PA 18966 | 2010-06-15 |
| 1164660015 | Andrew J Sohl | Podiatrist | 86 Buck Rd Ste 2, Southampton, PA 18966 | 2009-01-30 |
| Find all providers in zip 18966 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988432 | Caitlin Schwark | Nurse Practitioner | 3705 Northpointe Dr Apt 21, Holland, MI 49424-7796 | 2020-10-05 |
| 1851903272 | Theresa Tan | Nurse Practitioner | 647 Northridge Dr, Holland, MI 49423-9213 | 2020-08-18 |
| 1215578380 | Jennifer Olivier | Nurse Practitioner | 9161 Rolling Hill Rd, Holland, OH 43528-9204 | 2019-09-30 |
| 1750842167 | Perry Davis Babcock | Nurse Practitioner | 12330 James St Ste H10, Holland, MI 49424-9575 | 2019-03-28 |
| 1528534716 | Jennifer Boven | Nurse Practitioner | 577 Michigan Ave Ste 201, Holland, MI 49423-4911 | 2018-10-16 |
| 1487183067 | Keith Lamar Stroder | Nurse Practitioner | 6855 Spring Valley Dr Ste 150, Holland, OH 43528-7012 | 2017-06-07 |
| 1497107452 | Angela Kay Beil | Nurse Practitioner | 7059 Orchard Centre Drive, Holland, OH 43528 | 2016-07-01 |
| 1467706382 | Eileen Kelly Greco | Nurse Practitioner | 136 Karen Rd, Holland, PA 18966-2443 | 2012-10-30 |
| 1255655510 | Jill Lynn Federer | Nurse Practitioner | 1650 Eber Rd Ste E, Holland, OH 43528-9793 | 2010-03-16 |
| 1164662771 | Jason A Rickert | Nurse Practitioner | 1414 Spring Meadows Dr, Holland, OH 43528-9478 | 2009-02-23 |
| Find all providers in HOLLAND | ||||
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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.