DANIEL DE YOUNG (NPI# 1437601945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437601945 |
| Entity Type | Individual |
| Full Name | DANIEL DE YOUNG |
| Credential | NP |
| Practice Address |
4444 Kalamazoo Ave Se Suite 200 Kentwood MI 49508-4600 |
| Mailing Address |
100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6163915600 |
| Practice Fax Number | 6163915685 |
| Mailing Telephone | 6164866790 |
| Mailing Fax Number | 6164866702 |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2016-11-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4707284888 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4444 KALAMAZOO AVE SE SUITE 200 |
| City | KENTWOOD |
| State | MI |
| Zip Code | 49508-4600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750385241 | Thomas Wesley Brink | Internal Medicine | 4444 Kalamazoo Ave Se, Kentwood, MI 49508-4600 | 2005-06-13 |
| 1295125375 | Sharon Schroeder Dass | Social Worker | 4444 Kalamazoo Ave Se, Suite 200, Kentwood, MI 49508-4600 | 2015-01-28 |
| 1447372750 | Michael T Stout | Internal Medicine | 4444 Kalamazoo Ave Se, Kentwood, MI 49508-4600 | 2007-04-06 |
| 1134237167 | Dana L Leary | Specialist | 4444 Kalamazoo Ave Se, Suite 103, Kentwood, MI 49508-4600 | 2006-08-29 |
| 1487762407 | James R Jokerst | Specialist | 4444 Kalamazoo Ave Se, Suite 103, Kentwood, MI 49508-4600 | 2006-08-29 |
| 1003847567 | Pamela Denise Keenan | Audiologist | 4444 Kalamazoo Ave Se, Kentwood, MI 49508-4600 | 2006-07-05 |
| 1174573471 | Pediatric Associates of Kentwood | Specialist | 4444 Kalamazoo Ave Se, Suite 103, Kentwood, MI 49508-4600 | 2006-05-10 |
| 1427038843 | Shawn Castillo | Audiologist | 4444 Kalamazoo Ave Se, Mcdonald Audiology and Hearing Health Care, Kentwood, MI 49508-4600 | 2006-01-20 |
| 1043215486 | Kevin Mccormick | Internal Medicine | 4444 Kalamazoo Ave Se, Kentwood, MI 49508-4600 | 2005-06-14 |
| 1194729699 | James A. Geissler | Internal Medicine | 4444 Kalamazoo Ave Se, Kentwood, MI 49508-4600 | 2005-06-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012367 | Jenna Brianne Labrecque | Social Worker | 2013 East Castle Dr, Suite B, Kentwood, MI 49508 | 2020-10-27 |
| 1881208809 | Morgan Paige Ballmann | Physical Therapy Assistant | 4150 Kalamazoo Ave. Se, Grand Rapids, MI 49508 | 2020-09-08 |
| 1699385740 | Jodie Lynn Robertson | Prosthetist | 3720 Eastern Se, Grand Rapids, MI 49508 | 2020-08-04 |
| 1003460874 | Derm Institute of West Michigan Plc | Dermatology | 6750 Kalamazoo Ave, Suites C & D, Grand Rapids, MI 49508 | 2019-07-30 |
| 1255801833 | Ikeia Tynika Hill | Licensed Practical Nurse | 1627 Lotus, Grand Rapids, MI 49508 | 2018-11-27 |
| 1326556838 | Araceli Contreras-hernandez | Behavior Technician | 3566 Eastern Ave. Se, Kentwood, MI 49508 | 2018-01-18 |
| 1881102788 | A Grand Rapids Senior Social Exchange and Adult Day Center | In Home Supportive Care | 3212 Eastern Ave Se, Grand Rapids, MI 49508 | 2018-01-14 |
| 1952827107 | Nupoint Services LLC | Clinic/Center | 1620 44th Street Se, Grand Rapids, MI 49508 | 2017-08-19 |
| 1710427695 | Embracing Life Afc | Custodial Care Facility | 1405 Forrester St S.e., Grand Rapids, MI 49508 | 2017-02-27 |
| 1083162838 | Katherine Berenice Campoverde Arevalo | Technician, Other | 1157 Billigs Ct Se, Ap# 1a, Grand Rapids, MI 49508 | 2016-09-21 |
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| 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 |
|---|---|---|---|---|
| 1407177348 | Bryan D. Tate Jr. | Nurse Practitioner | 919 Avenue G, Kentwood, LA 70444 | 2010-06-15 |
| 1780050294 | Kentwood Family Clinic LLC | Nurse Practitioner | 919 Avenue G, Kentwood, LA 70444 | 2015-08-19 |
| 1598021487 | Karen M Revitte | Nurse Practitioner | 4600 Breton Rd Se, Suite 102, Kentwood, MI 49508-5262 | 2012-04-05 |
| 1548283062 | Diane Anderson | Nurse Practitioner | 1676 Viewpond Dr Se, Suite 100a, Kentwood, MI 49508-4994 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154599 | Kelly Phuong Doan | Nurse Practitioner | 27327 23 Mile Rd, Chesterfield, MI 48051-2045 | 2020-11-04 |
| 1275133217 | Maureen Mae Lewis | Nurse Practitioner | 2782 N Coleman Rd, Coleman, MI 48618-9721 | 2020-10-29 |
| 1073113460 | Taylor L Pichette | Nurse Practitioner | 758 Lucille Dr, Wolverine Lake, MI 48390-2327 | 2020-10-27 |
| 1295333938 | Amanda Covell | Nurse Practitioner | 624 Cherry St Se Apt 5, Grand Rapids, MI 49503-4778 | 2020-10-14 |
| 1689271314 | Nicole Conklin | Nurse Practitioner | 524 Doyle Rd, Laingsburg, MI 48848-9611 | 2020-10-06 |
| 1447857677 | Shelby Lynn Waibel | Nurse Practitioner | 560 W Mitchell St Ste 210, Petoskey, MI 49770-2276 | 2020-10-01 |
| 1497361638 | Amira Aljamal | Nurse Practitioner | 4601 Shenandoah Ave, Allen Park, MI 48101-3131 | 2020-09-22 |
| 1659987014 | Sean Thomas Kane | Nurse Practitioner | 13734 Parallel Ave, Alpena, MI 49707-7987 | 2020-09-21 |
| 1235743592 | Mojica, LLC | Nurse Practitioner | 4163 W Pointe Dr, Waterford, MI 48329-4648 | 2020-09-03 |
| 1942812094 | Meagan James | Nurse Practitioner | 407 E Huron River Dr, Belleville, MI 48111-2763 | 2020-08-20 |
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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.