MISS DENISE MARIE SKONIECZNY (NPI# 1528404761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528404761 |
| Entity Type | Individual |
| Full Name | MISS DENISE MARIE SKONIECZNY |
| Credential | R.N. |
| Practice Address |
2100 Raybrook St Se Suite #200 Grand Rapids MI 49546-7759 |
| Practice Telephone | 6169569440 |
| Practice Fax Number | 6169541520 |
| Mailing Telephone | 6169569440 |
| Mailing Fax Number | 6169541520 |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2017-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
4704202151 | MI | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
4704202151 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2100 RAYBROOK ST SE SUITE #200 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-7759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710931308 | Atrio Home Health | Home Health | 2100 Raybrook St Se, Ste 303, Grand Rapids, MI 49546-5783 | 2006-05-19 |
| 1043839111 | Emily L Page | Nurse Practitioner | 2100 Raybrook St Se, Grand Rapids, MI 49546-7759 | 2020-04-09 |
| 1992278113 | Julie Marie Ball | Social Worker | 2100 Raybrook St Se, Grand Rapids, MI 49546-7759 | 2019-01-10 |
| 1164995049 | Jeanne Marie Burns | Occupational Therapist | 2100 Raybrook St Se, Grand Rapids, MI 49546-7759 | 2019-01-03 |
| 1861964389 | Karen Elizabeth Vanderploeg | Speech-Language Pathologist | 2100 Raybrook St Se, Grand Rapids, MI 49546-7759 | 2018-12-21 |
| 1942772579 | Rachael Lynn Reimink | Occupational Therapist | 2100 Raybrook St Se, Grand Rapids, MI 49546-7759 | 2018-12-20 |
| 1063984862 | Kellie Marie Palmbos | Social Worker | 2100 Raybrook St Se, Grand Rapids, MI 49546-7759 | 2018-12-19 |
| 1750853644 | Cheryl A Kaltz | Occupational Therapist | 2100 Raybrook St Se, Grand Rapids, MI 49546-7759 | 2018-12-18 |
| 1669944559 | Christine Lynn Fraser-lee | Occupational Therapist | 2100 Raybrook St Se, Grand Rapids, MI 49546-7759 | 2018-12-18 |
| 1013489905 | Kristie Jo Parker | Occupational Therapist | 2100 Raybrook St Se, Grand Rapids, MI 49546-7759 | 2018-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457753295 | Tracy Zimmerman-deschepper | Nurse Practitioner | 28 Nw 4th Street, Suite A, Grand Rapids, MN 55744-2714 | 2014-09-24 |
| 1538576517 | Kari Marie Rengo | Nurse Practitioner | 28 Nw 4th St, Ste A, Grand Rapids, MN 55744-2714 | 2014-07-22 |
| 1205163680 | Lisa Ann Riggs | Nurse Practitioner | 1619 Mishawaka Rd, Grand Rapids, MN 55744-8709 | 2009-11-05 |
| 1336789916 | Rhea Lou Valdez Del Rosario | Nurse Practitioner | 20 Nw 3rd St, Grand Rapids, MN 55744-2711 | 2020-01-10 |
| 1669025888 | Rachel Owen | Nurse Practitioner | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2019-07-17 |
| 1538649223 | Dannielle Chantel Chesness Nelson | Nurse Practitioner | 215 Se 2nd Ave, Grand Rapids, MN 55744-3615 | 2018-08-21 |
| 1154861565 | Karli Reich | Nurse Practitioner | 1055 Medical Park Dr Se, Grand Rapids, MI 49546-3607 | 2017-03-03 |
| 1437522711 | Lisa Riggs Aprn Cnp LLC | Nurse Practitioner | 423 Ne 4th St, Suite 6, Grand Rapids, MN 55744-2968 | 2015-11-09 |
| 1124494539 | Amy Catherine Stratton | Nurse Practitioner | 1055 Medical Park Dr Se, Grand Rapids, MI 49546-3607 | 2015-08-19 |
| 1578948428 | Krista L Alaspa | Nurse Practitioner | 215 Se 2nd Ave, Grand Rapids, MN 55744-3615 | 2015-07-21 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
Please comment or provide details below to improve the information on MISS DENISE MARIE SKONIECZNY.
| 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.