PRESTON JAMES HAGERMAN (NPI# 1477023216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477023216 |
| Entity Type | Individual |
| Full Name | PRESTON JAMES HAGERMAN |
| Practice Address |
2925 Breton Rd Se Grand Rapids MI 49512-1745 |
| Mailing Address |
360 E Tuttle Rd Lot 129 Ionia MI 48846-8624 |
| Practice Telephone | 6162434336 |
| Mailing Telephone | 8109238682 |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2018-12-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
2925 BRETON RD SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49512-1745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245736040 | Cassandra Slater | Technician, Other | 2925 Breton Rd Se, Grand Rapids, MI 49512 | 2018-04-02 |
| 1457952780 | Samantha Cannon | Behavior Technician | 2925 Breton Rd Se, Grand Rapids, MI 49512-1745 | 2020-11-03 |
| 1245860089 | Emma Caitlyn Chavez-mauricio | Technician, Other | 2925 Breton Rd Se, Grand Rapids, MI 49512-1745 | 2020-01-21 |
| 1376173302 | Shelby Vincke | Behavior Technician | 2925 Breton Rd Se, Grand Rapids, MI 49512-1745 | 2020-01-17 |
| 1245860477 | Rachel Jane Ronda | Technician, Other | 2925 Breton Rd Se, Grand Rapids, MI 49512-1745 | 2020-01-15 |
| 1083257281 | Karen Cumings | Technician, Other | 2925 Breton Rd Se, Grand Rapids, MI 49512-1745 | 2019-10-21 |
| 1326681529 | Diane Niblick | Technician, Other | 2925 Breton Rd Se, Grand Rapids, MI 49512-1745 | 2019-10-21 |
| 1982247334 | Isabelle Ruth Glidden | Technician, Other | 2925 Breton Rd Se, Grand Rapids, MI 49512-1745 | 2019-10-17 |
| 1982255964 | Rachel Marie Malone | Technician, Other | 2925 Breton Rd Se, Grand Rapids, MI 49512-1745 | 2019-09-22 |
| 1962059063 | Makayla Dalson | Technician, Other | 2925 Breton Rd Se, Grand Rapids, MI 49512-1745 | 2019-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649757071 | St. Lukes Primary Care | Family Medicine | 5300 Patterson Ave Se Ste 1-d, Grand Rapids, MI 49512 | 2018-07-27 |
| 1013493733 | Pharmascript of Michigan Gr LLC | Pharmacy | 2661 29th St. Se Suite A, Grand Rapids, MI 49512 | 2018-07-16 |
| 1235632704 | John Mitchell Tanja | Occupational Therapist | 3350 Broadmoor Avenue Se, Grand Rapids, MI 49512 | 2018-03-12 |
| 1952829855 | Sarah Harlow | Physical Therapist | 2951 44th St Se, Kentwood, MI 49512 | 2017-08-31 |
| 1194248815 | Melinda Huizenga | Registered Nurse | 5300 Patterson Ave Se Ste 125, Grand Rapids, MI 49512 | 2017-07-25 |
| 1659812931 | Frantzie Pierre | Counselor | 3300 S Creek Dr Se Apt 201, Kentwood, MI 49512 | 2017-03-20 |
| 1104128602 | Hope Network Behavioral Health Services | Psychiatry & Neurology | 3361 36th Street, Grand Rapids, MI 49512 | 2010-12-03 |
| 1518282631 | Melanie Anne Hogeterp | Social Worker | 3180 East Paris Se, Kentwood, MI 49512 | 2010-03-31 |
| 1013147495 | Ardean Beth Brock-vanderwall | Counselor | 2828 Kraft Ave., Grand Rapids, MI 49512 | 2009-07-20 |
| 1427294909 | Marcia Rappleye | Counselor | 3250 36th St Se, Grand Rapids, MI 49512 | 2009-01-05 |
| Find all providers in zip 49512 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104442656 | Meredith Sparks | Technician, Other | 1053 Kirk Dr Se, Grand Rapids, MI 49546-3740 | 2020-06-21 |
| 1487276366 | Sarah Zimmerman | Technician, Other | 2341 Valleywood Dr Se Apt L12, Grand Rapids, MI 49546-7707 | 2020-05-13 |
| 1497217343 | Tegan Jackson | Technician, Other | 1823 Francis Ave Se, Grand Rapids, MI 49507-2418 | 2019-04-01 |
| 1710442256 | Nancy Higgins | Technician, Other | 4031 Woodland Creek Dr Se Apt 204, Grand Rapids, MI 49512-8330 | 2019-02-08 |
| 1245736040 | Cassandra Slater | Technician, Other | 2925 Breton Rd Se, Grand Rapids, MI 49512 | 2018-04-02 |
| 1891236626 | Laura Weatherell | Technician, Other | 1192 Edna St Se, Grand Rapids, MI 49507-3707 | 2017-03-13 |
| 1093251696 | Cindy Boersema | Technician, Other | 2184 Woodcliff Ave Se, Grand Rapids, MI 49546-5711 | 2017-01-06 |
| 1669916987 | Andria K Zwerk | Technician, Other | 323 Manzana Ct Nw, 1c, Grand Rapids, MI 49534-8430 | 2016-12-05 |
| 1821548504 | Alison Anderson | Technician, Other | 103 Roth St Se, Grand Rapids, MI 49548 | 2016-10-06 |
| 1821548439 | Lyla Whitney | Technician, Other | 2017 Edgewood Ave Ne, Grand Rapids, MI 49505-4217 | 2016-10-06 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49512 |
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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.