MR. JARED JENNINGS POPPEN (NPI# 1417587072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417587072 |
| Entity Type | Individual |
| Full Name | MR. JARED JENNINGS POPPEN |
| Credential | RN |
| Practice Address |
2561 Stockwood Dr Ne Grand Rapids MI 49505-3984 |
| Practice Telephone | 6164437403 |
| Mailing Telephone | 6164437403 |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2020-01-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 4704328954 | MI | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | RN LICENSE NUMBER | 4704328954 | 01 |
| Street Address |
2561 STOCKWOOD DR NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49505-3984 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285276097 | Molly Beth Kerkstra | Home Health Aide | 1115 Ball Ave Nw, Grand Rapids, MI 49505 | 2019-10-14 |
| 1154849677 | Roshawn Nichol Whitley | Technician | 891 Maryland Ave, Grand Rapids, MI 49505 | 2017-09-05 |
| 1447778923 | Kelly Benzin-brinks | Social Worker | 1965 3 Mile Rd Ne, Grand Rapids, MI 49505 | 2017-09-05 |
| 1033560404 | Taylor Nolan Boyd | Speech-Language Pathologist | 400 Ann St Ne Ste 106a, Grand Rapids, MI 49505 | 2016-06-28 |
| 1023465002 | Calvin Athy | Counselor | 1101 Ballave Ne, Grand Rapids, MI 49505 | 2016-05-19 |
| 1821456682 | Kelly Van Huisen | Counselor | 1115 Ball Avenue Ne, Building B, Grand Rapids, MI 49505 | 2016-02-08 |
| 1780051102 | Mark Squeteri | Social Worker | 1345 Monroe Ave Nw Ste 234, Grand Rapids, MI 49505 | 2015-09-02 |
| 1346637337 | Shelby Fullington | Social Worker | 1011 Ball Ave Ne, Grand Rapids, MI 49505 | 2015-04-17 |
| 1457745325 | Lester Anderson II | Social Worker | 1115 Ball Ave, Grand Rapids, MI 49505 | 2015-03-27 |
| 1730570151 | Nicole Brown | Counselor | 1345 Monroe Ave Nw Ste 204, Grand Rapids, MI 49505 | 2015-02-06 |
| Find all providers in zip 49505 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669097333 | Nathan Baar | Registered Nurse | 2230 Chesapeake Dr Ne, Grand Rapids, MI 49505-6407 | 2020-06-09 |
| 1689208597 | Kara Witmer | Registered Nurse | 1758 32nd St Se, Grand Rapids, MI 49508-1404 | 2020-02-29 |
| 1659901726 | Eryka Paige Dubois | Registered Nurse | 301 Fountain St Ne Apt 24, Grand Rapids, MI 49503-5628 | 2020-01-17 |
| 1518522531 | Teresa A Selgo | Registered Nurse | 2410 Westbrook Dr Nw, Grand Rapids, MI 49504-2343 | 2019-05-06 |
| 1144885443 | Jessica Parm | Registered Nurse | 756 Wealthy St Se, Grand Rapids, MI 49503-5554 | 2019-05-02 |
| 1508329244 | Sharon Ann Pietrzak | Registered Nurse | 1630 Saginaw Rd Se, Grand Rapids, MI 49506-5263 | 2019-04-10 |
| 1639631039 | Ruth Lois Ruiter | Registered Nurse | 1477 Langley St Se, Grand Rapids, MI 49508-3510 | 2019-04-03 |
| 1841751021 | Gloria Denise Sanders | Registered Nurse | 5935 Wind Brook Ave Se, Grand Rapids, MI 49508-0619 | 2019-03-28 |
| 1922568492 | James Sweet | Registered Nurse | 5715 Christie Ave Se, Grand Rapids, MI 49508-6236 | 2019-03-21 |
| 1629537220 | Donna Lee Luckett | Registered Nurse | 1118 Temple St Se, Grand Rapids, MI 49507-1967 | 2019-03-14 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49505 |
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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.