MS. REBECCA KATHLEEN GRACE (NPI# 1487992731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487992731 |
| Entity Type | Individual |
| Full Name | MS. REBECCA KATHLEEN GRACE |
| Credential | RN |
| Practice Address |
105 Hall St Traverse City MI 49684-2288 |
| Practice Telephone | 2319353172 |
| Mailing Telephone | 2319353172 |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2013-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
4704213300 | MI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164876785 | Rebecca Grace | Psychologist | 200 River St East, Ketchum, ID 83340 | 2016-04-20 |
| 1467913582 | Rebecca Grace | Obstetrics & Gynecology | 1 Baylor Plz # Bcm610, Houston, TX 77030-3411 | 2019-03-29 |
| Street Address |
105 HALL ST |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49684-2288 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861505810 | Marshall B. Cronican-walker | Social Worker | 105 Hall St, Traverse City, MI 49684-2288 | 2006-08-16 |
| 1467060202 | Jacob Zimmer | Case Manager/Care Coordinator | 105 Hall St, Traverse City, MI 49684-2288 | 2020-07-17 |
| 1487287520 | Patrick Prevo | Counselor | 105 Hall St, Traverse City, MI 49684-2288 | 2020-02-18 |
| 1184257222 | Lisa Hoffman | Social Worker | 105 Hall St, Traverse City, MI 49684-2288 | 2020-02-18 |
| 1417596560 | Casey Mccotter | Social Worker | 105 Hall St, Traverse City, MI 49684-2288 | 2020-01-06 |
| 1790326957 | Sarah Majerczyk | Social Worker | 105 Hall St, Traverse City, MI 49684-2288 | 2019-09-30 |
| 1659912814 | Michelle Loeffler-rohraff | Social Worker | 105 Hall St, Traverse City, MI 49684-2288 | 2019-09-30 |
| 1164078895 | Matthew Bartz | Social Worker | 105 Hall St, Traverse City, MI 49684-2288 | 2019-08-19 |
| 1164076956 | Bethany Kaiser | Social Worker | 105 Hall St, Traverse City, MI 49684-2288 | 2019-07-30 |
| 1043863731 | Bria L Brunette | Registered Nurse | 105 Hall St, Traverse City, MI 49684-2288 | 2019-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641758 | Karen Anne Paulosky | Registered Nurse | 226 S Madison St, Traverse City, MI 49684 | 2020-05-18 |
| 1891314795 | Jaclyn Elizabeth Sylvain | Student in an Organized Health Care Education/Training Program | Munson Family Practice Center, 1400 Medical Campus Drive, Traverse City, MI 49684 | 2020-04-10 |
| 1285282988 | Madelyn Drumm | Dietitian, Registered | 217 S. Madison St., Suite 3022, Traverse City, MI 49684 | 2019-08-27 |
| 1265917686 | Kacie Danielle Heading | Social Worker | 12719 S. West Bay Shore Drive, Suite 9, Traverse City, MI 49684 | 2018-10-02 |
| 1881178325 | Jacob White Ph.d., Pllc | Psychologist | 3537 W. Front Street, Suite F, Traverse City, MI 49684 | 2018-09-20 |
| 1144702572 | Constance Baab, Phd, Lmsw, Pllc | Social Worker | 3301 Veterans Drive Suite 127, Traverse City, MI 49684 | 2018-09-01 |
| 1346732880 | The Skin Cancer and Dermatology Center Plc | Dermatology | 1225 W Front St Ste 2, Traverse City, MI 49684 | 2018-05-31 |
| 1790283851 | Lisa Louise Kleyps | Massage Therapist | 3337 W. South Airport Road #2, Traverse City, MI 49684 | 2018-01-24 |
| 1114447646 | Brittany Alexandra Prior | Physical Therapist | 3899 W Front Sreet, Unit 3, Traverse City, MI 49684 | 2017-06-26 |
| 1568902963 | Jennifer Scott | Behavior Technician | 515 W 14th St Unit D, Traverse City, MI 49684 | 2017-03-03 |
| Find all providers in zip 49684 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285270694 | Mandy J Sullivan | Registered Nurse | 750 Towner St, Ypsilanti, MI 48198-5724 | 2019-11-20 |
| 1518501089 | Angela Goodson | Registered Nurse | 9216 Brucedale Dr, Clarkston, MI 48346-1814 | 2019-10-29 |
| 1225671399 | Emily Caroline Cameron-hesson | Registered Nurse | 1910 Shaffer St., Kalamazoo, MI 49048-1604 | 2019-10-22 |
| 1437627643 | Karen Byrnes | Registered Nurse | Hancock Va Cboc, 787 Market St. Suite 9, Hancock, MI 49930 | 2018-11-06 |
| 1508349507 | Kaitlynn Taylor | Registered Nurse | 890 N 10th St Ste 110, Kalamazoo, MI 49009-6192 | 2018-09-14 |
| 1346755972 | Mark Christoper Tanario | Registered Nurse | 1221 E Grand Blvd, Detroit, MI 48211-3428 | 2017-12-05 |
| 1336555143 | Deborah Cheatham | Registered Nurse | 22180 Stratford St, Oak Park, MI 48237-2566 | 2014-07-01 |
| 1548670540 | Barbara Bokram | Registered Nurse | 8650 Surfwood Dr, Harbor Springs, MI 49740-9151 | 2014-04-30 |
| 1194076356 | Susan Cahillane | Registered Nurse | 14015 Tall Oaks Ct, Riverview, MI 48193-7820 | 2012-09-27 |
| 1306012778 | Sharon Denise Pittman | Registered Nurse | 5555 Conner St Ste 1000, Detroit, MI 48213-3448 | 2008-05-05 |
| Find all providers with the same taxonomy | ||||
| City | TRAVERSE CITY |
| Zip Code | 49684 |
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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.