GRACE FREDERICKSON (NPI# 1538774849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538774849 |
| Entity Type | Individual |
| Full Name | GRACE FREDERICKSON |
| Practice Address |
820 Meadow Dr Wayland MI 49348-1369 |
| Practice Telephone | 2696809159 |
| Mailing Telephone | 2696809159 |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2020-09-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
820 MEADOW DR |
| City | WAYLAND |
| State | MI |
| Zip Code | 49348-1369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215447214 | Alexandra Jo Obetts | Occupational Therapist | 145 S. Main Suite 4, Wayland, MI 49348 | 2017-10-04 |
| 1821450404 | Samantha Chilcote Ritenburgh | Psychologist | 2730 S Patterson Rd, Wayland, MI 49348 | 2016-03-23 |
| 1629222864 | Susan Mccourt | Physical Therapist | 709 W. Superior, Wayland, MI 49348 | 2008-11-14 |
| 1720204126 | Christine Laura Ackermann | Dentist | 12715 W M-179 Hwy, Wayland, MI 49348 | 2007-04-17 |
| 1811069099 | Adam Greenman | Chiropractor | 135 E. Superior St., Wayland, MI 49348 | 2006-11-14 |
| 1942392337 | Robert Michael Rowe | Pharmacist | 300 Reno Drive, Wayland, MI 49348 | 2006-09-29 |
| 1447223995 | Ronald Angelo House II | Chiropractor | 135 E Superior St, Wayland, MI 49348 | 2006-02-07 |
| 1699055194 | Rebecca G Eckert | Nurse Practitioner | 12851 W M 179 Hwy, Wayland, MI 49348 | 2011-08-28 |
| 1023100419 | Michael Shannon Shea | Pharmacist | 300 Reno Dr, Wayland Village Pharmacy, Wayland, MI 49348 | 2006-09-29 |
| 1295769123 | Peter Anthony Post | Physical Therapist | 145 S Main St, Wayland, MI 49348 | 2006-07-10 |
| Find all providers in zip 49348 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891348298 | Daniel Cohen | Student in an Organized Health Care Education/Training Program | 5 Gregory Ln, Wayland, MA 01778-4613 | 2019-07-24 |
| 1063943827 | Elizabeth Dahlee Yuan | Student in an Organized Health Care Education/Training Program | 15 Forest Hill Rd, Wayland, MA 01778-3204 | 2017-03-23 |
| 1649634924 | Shawheen Shawn Saffari | Student in an Organized Health Care Education/Training Program | 31 Woodland Rd, Wayland, MA 01778-4127 | 2016-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648940 | Danielle Johne | Student in an Organized Health Care Education/Training Program | 1623 W Sharon Rd Sw, Fife Lake, MI 49633-7214 | 2020-11-01 |
| 1285234062 | Christopher Michael Kemp | Student in an Organized Health Care Education/Training Program | 1710 Hermitage Rd, Ann Arbor, MI 48104-4503 | 2020-10-29 |
| 1326647728 | Sevcan Turk | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Uh B2-a209, Dept. of Radiology, Neuroradiology Division, Ann Arbor, MI 48109-5030 | 2020-10-19 |
| 1013514702 | Leeza Fortner | Student in an Organized Health Care Education/Training Program | 259 Mack Ave Ste 4514, Detroit, MI 48201-2427 | 2020-10-06 |
| 1083221345 | Katelynn Ann Millard | Student in an Organized Health Care Education/Training Program | 3710 Tartan Cir, Portage, MI 49024-4094 | 2020-09-29 |
| 1952918377 | Ereny Demian | Student in an Organized Health Care Education/Training Program | 443 Phillips Ave, Clawson, MI 48017-1546 | 2020-09-29 |
| 1629685151 | Nicole Hiltner | Student in an Organized Health Care Education/Training Program | 391 Quail Ridge Ct, Waterford, MI 48327-4332 | 2020-09-29 |
| 1306453303 | Eddie D Williams | Student in an Organized Health Care Education/Training Program | 507 Pearl St, Ypsilanti, MI 48197-2076 | 2020-09-24 |
| 1215541685 | Rebecca Frey | Student in an Organized Health Care Education/Training Program | 3955 Mayfair St, Dearborn Heights, MI 48125-3039 | 2020-09-03 |
| 1871106823 | Taylor Angel-aris Bitnar | Student in an Organized Health Care Education/Training Program | 339 Hursley St, Sault Sainte Marie, MI 49783-2309 | 2020-08-28 |
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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.