DEBORAH S PESHKA (NPI# 1386794022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386794022 |
| Entity Type | Individual |
| Full Name | DEBORAH S PESHKA |
| Other Name | DEBORAH SUE DAVIS |
| Credential | N.P. |
| Practice Address |
2902 Bradford St Ne Grand Rapids MI 49525-6427 |
| Mailing Address |
100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6164866577 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2017-09-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4704118417 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
4704118417 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2902 BRADFORD ST NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49525-6427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942289798 | Michael G Dickinson | Internal Medicine | 2902 Bradford St Ne, Grand Rapids, MI 49525 | 2006-01-11 |
| 1639445844 | Matthew Hans Gonzalez | Internal Medicine | 2902 Bradford St Ne, Grand Rapids, MI 49525-6427 | 2012-04-02 |
| 1356643027 | Spectrum Health Hospitals | Internal Medicine | 2902 Bradford St Ne, Grand Rapids, MI 49525-6427 | 2010-12-01 |
| 1417266685 | Spectrum Health Primary Care Partners | Internal Medicine | 2902 Bradford St Ne, Grand Rapids, MI 49525-6427 | 2010-10-05 |
| 1942523261 | Susan Marie Dalrymple | Nurse Practitioner | 2902 Bradford St Ne, Grand Rapids, MI 49525-6427 | 2010-03-02 |
| 1306099973 | Jacquelyn May Oliai | Nurse Practitioner | 2902 Bradford St Ne, Grand Rapids, MI 49525-6427 | 2008-10-28 |
| 1598914228 | Laura Borst Braunohler | Nurse Practitioner | 2902 Bradford St Ne, Grand Rapids, MI 49525-6427 | 2008-09-18 |
| 1447411004 | Milena Jani | Internal Medicine | 2902 Bradford St Ne, Grand Rapids, MI 49525 | 2008-06-17 |
| 1447442215 | David Robert Fermin | Internal Medicine | 2902 Bradford St Ne, Grand Rapids, MI 49525 | 2007-08-15 |
| 1275742389 | Renzo Ygor Loyaga-rendon | Internal Medicine | 2902 Bradford St Ne, Grand Rapids, MI 49525-6427 | 2007-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1174154645 | Amy Vanderslik | Case Manager/Care Coordinator | 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 | 2020-02-03 |
| 1477195246 | Epic Discoveries LLC | Counselor | 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 | 2019-10-14 |
| 1598228959 | Kim Scherencel Lmsw Counseling | Social Worker | 3280 Beltline Ne, Grand Rapids, MI 49525 | 2019-04-11 |
| 1821558958 | Mindful Trajectories | Social Worker | 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 | 2019-03-24 |
| 1104380518 | Julianne Lettinga, Ma Lpc Counseling | Counselor | 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 | 2019-01-30 |
| 1396227229 | Christopher Scot Doucette | Social Worker | 2064 Airway St Ne, Grand Rapids, MI 49525 | 2018-09-06 |
| 1568976017 | Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry | Dentist | 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 | 2017-11-20 |
| 1407389604 | Kelly Jo Crabb | Social Worker | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 | 2017-04-05 |
| Find all providers in zip 49525 | ||||
| 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 | 49525 |
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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.