JESSICA ANN KUNCAITIS (NPI# 1578805701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578805701 |
| Entity Type | Individual |
| Full Name | JESSICA ANN KUNCAITIS |
| Other Name | JESSICA ANN LOWRY |
| Credential | PA-C |
| Practice Address |
2120 43rd St Se Suite 200 Kentwood MI 49508-3772 |
| Practice Telephone | 6164554114 |
| Practice Fax Number | 6164554454 |
| Mailing Telephone | 6164554114 |
| Mailing Fax Number | 6164554454 |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2013-03-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601006614 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2120 43RD ST SE SUITE 200 |
| City | KENTWOOD |
| State | MI |
| Zip Code | 49508-3772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831513449 | West Michigan Family Health PC | Family Medicine | 2120 43rd St Se, Suite 200, Kentwood, MI 49508-3772 | 2014-02-18 |
| 1285826297 | West Michigan Family Medicine-kentwood, Plc | Family Medicine | 2120 43rd St Se, Suite 200, Kentwood, MI 49508-3772 | 2007-08-14 |
| 1699767053 | Michelle K Davis | Family Medicine | 2120 43rd St Se, Suite 200, Kentwood, MI 49508-3772 | 2005-08-22 |
| 1629060165 | Cindy Opolka | Family Medicine | 2120 43rd St Se, Suite 200, Kentwood, MI 49508-3772 | 2005-08-19 |
| 1669464301 | Pamela S Zelasko | Family Medicine | 2120 43rd St Se, Suite 200, Kentwood, MI 49508-3772 | 2005-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012367 | Jenna Brianne Labrecque | Social Worker | 2013 East Castle Dr, Suite B, Kentwood, MI 49508 | 2020-10-27 |
| 1881208809 | Morgan Paige Ballmann | Physical Therapy Assistant | 4150 Kalamazoo Ave. Se, Grand Rapids, MI 49508 | 2020-09-08 |
| 1699385740 | Jodie Lynn Robertson | Prosthetist | 3720 Eastern Se, Grand Rapids, MI 49508 | 2020-08-04 |
| 1003460874 | Derm Institute of West Michigan Plc | Dermatology | 6750 Kalamazoo Ave, Suites C & D, Grand Rapids, MI 49508 | 2019-07-30 |
| 1255801833 | Ikeia Tynika Hill | Licensed Practical Nurse | 1627 Lotus, Grand Rapids, MI 49508 | 2018-11-27 |
| 1326556838 | Araceli Contreras-hernandez | Behavior Technician | 3566 Eastern Ave. Se, Kentwood, MI 49508 | 2018-01-18 |
| 1881102788 | A Grand Rapids Senior Social Exchange and Adult Day Center | In Home Supportive Care | 3212 Eastern Ave Se, Grand Rapids, MI 49508 | 2018-01-14 |
| 1952827107 | Nupoint Services LLC | Clinic/Center | 1620 44th Street Se, Grand Rapids, MI 49508 | 2017-08-19 |
| 1710427695 | Embracing Life Afc | Custodial Care Facility | 1405 Forrester St S.e., Grand Rapids, MI 49508 | 2017-02-27 |
| 1083162838 | Katherine Berenice Campoverde Arevalo | Technician, Other | 1157 Billigs Ct Se, Ap# 1a, Grand Rapids, MI 49508 | 2016-09-21 |
| Find all providers in zip 49508 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497112890 | Meghan Mikula | Physician Assistant | 5424 Londonderry Dr Se, Kentwood, MI 49508-6328 | 2016-01-15 |
| 1407148307 | Elizabeth Ann Harris | Physician Assistant | 4600 Breton Rd Se Ste 102, Kentwood, MI 49508-5220 | 2011-05-10 |
| 1780648329 | Susanne Lyn Boyd | Physician Assistant | 4540 Kalamazoo Ave Se, Kentwood, MI 49508-4625 | 2006-04-12 |
| 1902360605 | William Slager | Physician Assistant | 1900 44th St Se, Kentwood, MI 49508-5008 | 2019-01-27 |
| 1295077634 | Nora Hurley | Physician Assistant | 4600 Breton Rd Se, Suite 102, Kentwood, MI 49508-5262 | 2013-03-25 |
| 1912282732 | Maria Bosch | Physician Assistant | 4600 Breton Rd Se, Suite 102, Kentwood, MI 49508-5262 | 2011-10-12 |
| 1770712200 | Heather Lynn Jordan | Physician Assistant | 1676 Viewpond Dr Se, Suite 100a, Kentwood, MI 49508-4994 | 2009-07-06 |
| 1124204573 | Kristen Linley Pfeiffer | Physician Assistant | 436 44th St Se, Kentwood, MI 49548-4371 | 2008-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022331 | Anna Lynn Shrift | Physician Assistant | 849 Black Hill Ln, Traverse City, MI 49696-8674 | 2020-10-27 |
| 1972102556 | Aaron Buckley | Physician Assistant | 567 Saint Louis St, Ferndale, MI 48220-2436 | 2020-10-23 |
| 1013516194 | Rebecca Mary Cronin | Physician Assistant | 4311 Kingsbrook Dr, Kalamazoo, MI 49006-3909 | 2020-10-20 |
| 1801495023 | Keriah Khairi Abd | Physician Assistant | 42836 Bloomingdale Dr, Sterling Heights, MI 48314-2843 | 2020-10-19 |
| 1154929016 | Angela Varghese | Physician Assistant | 461 Tanner Dr, Troy, MI 48085-4714 | 2020-10-13 |
| 1861090730 | Maloree Blayke Perkins | Physician Assistant | 20717 Coventry St, Clinton Twp, MI 48035-1603 | 2020-10-13 |
| 1801494000 | Sarah Puchala Lucero | Physician Assistant | 25614 Wilson Dr, Dearborn Heights, MI 48127-3427 | 2020-10-12 |
| 1871191007 | Julia Marie Tucker | Physician Assistant | 12250 E Ridge Dr, Bruce Twp, MI 48065-2011 | 2020-10-10 |
| 1164020301 | Sara Whitneyann Vandeman | Physician Assistant | 7901 S 12th St Ste 101, Portage, MI 49024-3831 | 2020-10-10 |
| 1831796267 | Jowharh Zindani | Physician Assistant | 12020 Mitchell St, Hamtramck, MI 48212-2722 | 2020-10-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JESSICA ANN KUNCAITIS.
| 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.