MR. KIM MICHAEL SCHRADER (NPI# 1447377841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447377841 |
| Entity Type | Individual |
| Full Name | MR. KIM MICHAEL SCHRADER |
| Credential | LPN |
| Practice Address |
1256 Walker Ave Nw Grand Rapids MI 49504-4067 |
| Practice Telephone | 6167748789 |
| Practice Fax Number | 6167740799 |
| Mailing Telephone | 6167748789 |
| Mailing Fax Number | 6167740799 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 4703041028 | MI | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | LPN LICENSE | 4703041028 | 01 |
| Street Address |
1256 WALKER AVE NW |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49504-4067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154318806 | Pamela M Vaught | Counselor | 1256 Walker Ave Nw, Grand Rapids, MI 49504 | 2005-09-28 |
| 1477168995 | Paige Siver | Behavior Technician | 1256 Walker Ave Nw, Grand Rapids, MI 49504-4067 | 2020-09-11 |
| 1508470188 | Dylan Roesler | Behavior Technician | 1256 Walker Ave Nw, Grand Rapids, MI 49504-4067 | 2020-09-01 |
| 1841802121 | Matthew Miller | Registered Nurse | 1256 Walker Ave Nw, Grand Rapids, MI 49504-4067 | 2020-08-19 |
| 1801427455 | Madalyn Hoffman | Behavior Technician | 1256 Walker Ave Nw, Grand Rapids, MI 49504-4067 | 2020-02-03 |
| 1003456633 | Audrianna Boersen | Behavior Technician | 1256 Walker Ave Nw, Grand Rapids, MI 49504-4067 | 2020-01-12 |
| 1043855349 | Jasia Marie Wright | Behavior Technician | 1256 Walker Ave Nw, Grand Rapids, MI 49504-4067 | 2019-11-10 |
| 1407499775 | Destiny Marie Patterson | Behavior Technician | 1256 Walker Ave Nw, Grand Rapids, MI 49504-4067 | 2019-10-19 |
| 1821595471 | Sarah Eileen Taylor | Behavior Technician | 1256 Walker Ave Nw, Grand Rapids, MI 49504-4067 | 2018-04-10 |
| 1891143616 | Cara Michelle Delange | Behavioral Analyst | 1256 Walker Ave Nw, Grand Rapids, MI 49504-4067 | 2016-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477049518 | Mark Contreras | Nurse Practitioner | 72 Sheldon Blvd Se # 130, Grand Rapids, MI 49504 | 2018-07-02 |
| 1205338753 | Kelli Marie Selby | Physical Therapist | 235 Wealthy, Grand Rapids, MI 49504 | 2018-03-01 |
| 1871094474 | Kymiri Lyn Coles | Physical Therapist | 1000 Edison Ave Ne, Grand Rapids, MI 49504 | 2018-02-28 |
| 1881132744 | Courtney Glinka | Behavior Technician | 1149 Butterworth St Sw, Grand Rapids, MI 49504 | 2017-02-10 |
| 1649650300 | Alyson Renee Vela | Social Worker | 1256 Walker Ave Ne, Grand Rapids, MI 49504 | 2015-06-08 |
| 1508258500 | Grand Rapids Natural Health | Nutritionist | 638 Fulton Street W., Grand Rapids, MI 49504 | 2015-02-27 |
| 1144622598 | Robert Mclaren | Physical Therapist | 2807 Lake Michigan Dr Nw Ste 1, Grand Rapids, MI 49504 | 2014-09-17 |
| 1972854339 | Beth Ellen Gregory | Registered Nurse | 1956 Walker Avenue Northwest, Grand Rapids, MI 49504 | 2012-09-26 |
| 1588914147 | Unlimited Alternatives | Community/Behavioral Health | 282 Leonard, Grand Rapids, MI 49504 | 2012-09-11 |
| 1386912178 | Michael Allen Crawford | Pharmacist | 800 West Leonard Nw, Grand Rapids, MI 49504 | 2011-12-07 |
| Find all providers in zip 49504 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: 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 |
|---|---|---|---|---|
| 1841890670 | Danielle Berry | Licensed Practical Nurse | 58 Murray St Se, Grand Rapids, MI 49548-3304 | 2020-10-30 |
| 1932723236 | Jason Alexander Myers | Licensed Practical Nurse | 156 Lexington Ave Nw, Grand Rapids, MI 49504-5649 | 2020-06-02 |
| 1235760778 | Rebecca Kenney | Licensed Practical Nurse | 2201 Nelson Ave Se, Grand Rapids, MI 49507-3731 | 2020-02-03 |
| 1952932477 | Marie Groot | Licensed Practical Nurse | 1029 Eastmont Dr Se, Grand Rapids, MI 49546-3735 | 2020-02-03 |
| 1063043610 | Mary Frost | Licensed Practical Nurse | 1812 Wilbert Ave Ne, Grand Rapids, MI 49505-4746 | 2020-02-03 |
| 1073155156 | Sharee Guyton | Licensed Practical Nurse | 926 Adams St Se, Grand Rapids, MI 49507-1904 | 2019-10-10 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1881153443 | Lora Lea Hollins | Licensed Practical Nurse | 5300 Patterson Ave Se, Grand Rapids, MI 49512-5663 | 2019-03-13 |
| 1255801833 | Ikeia Tynika Hill | Licensed Practical Nurse | 1627 Lotus, Grand Rapids, MI 49508 | 2018-11-27 |
| 1689169203 | Heather Evelina Purchase | Licensed Practical Nurse | 1215 E. Fulton St, Grand Rapids, MI 49503 | 2018-06-26 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49504 |
Please comment or provide details below to improve the information on MR. KIM MICHAEL SCHRADER.
| 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.