NICHOLAS MASTERS


Address: 1101 Ball Ave Ne, Grand Rapids, MI 49505-5904
Phone: 6164566571

NICHOLAS MASTERS (NPI# 1588212542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588212542
Entity Type Individual
Full Name NICHOLAS MASTERS
Practice Address 1101 Ball Ave Ne
Grand Rapids
MI 49505-5904
Practice Telephone 6164566571
Enumeration Date 2019-09-03
Last Update Date 2019-09-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 1101 BALL AVE NE
City GRAND RAPIDS
State MI
Zip Code 49505-5904

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942327440 Kathryn Marie Siegenthaler Social Worker 1101 Ball Ave Ne, Grand Rapids, MI 49505-5904 2007-03-22
1649810441 Hannah Elizabeth Crouch Respite Care 1101 Ball Ave Ne, Grand Rapids, MI 49505-5904 2020-01-09
1063057248 Janelle Nichole Vaness Peer Specialist 1101 Ball Ave Ne, Grand Rapids, MI 49505-5904 2019-11-12
1316597222 Meryn Jesse Creasman Social Worker 1101 Ball Ave Ne, Grand Rapids, MI 49505-5904 2019-09-13
1396394193 Lauren Washburn Psychologist 1101 Ball Ave Ne, Grand Rapids, MI 49505-5904 2019-09-05
1346899002 Brandon J Burgess Student in an Organized Health Care Education/Training Program 1101 Ball Ave Ne, Grand Rapids, MI 49505-5904 2019-09-05
1831664267 Ernestine Delarosa Specialist 1101 Ball Ave Ne, Grand Rapids, MI 49505-5904 2018-10-12
1336621317 Kendra Jean Weidenfeller Counselor 1101 Ball Ave Ne, Grand Rapids, MI 49505-5904 2018-09-05
1104303700 Ricky Belton Jr. Community Health Worker 1101 Ball Ave Ne, Grand Rapids, MI 49505-5904 2018-07-26
1083100747 Alisha Kremer Social Worker 1101 Ball Ave Ne, Grand Rapids, MI 49505-5904 2018-07-05
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285276097 Molly Beth Kerkstra Home Health Aide 1115 Ball Ave Nw, Grand Rapids, MI 49505 2019-10-14
1154849677 Roshawn Nichol Whitley Technician 891 Maryland Ave, Grand Rapids, MI 49505 2017-09-05
1447778923 Kelly Benzin-brinks Social Worker 1965 3 Mile Rd Ne, Grand Rapids, MI 49505 2017-09-05
1033560404 Taylor Nolan Boyd Speech-Language Pathologist 400 Ann St Ne Ste 106a, Grand Rapids, MI 49505 2016-06-28
1023465002 Calvin Athy Counselor 1101 Ballave Ne, Grand Rapids, MI 49505 2016-05-19
1821456682 Kelly Van Huisen Counselor 1115 Ball Avenue Ne, Building B, Grand Rapids, MI 49505 2016-02-08
1780051102 Mark Squeteri Social Worker 1345 Monroe Ave Nw Ste 234, Grand Rapids, MI 49505 2015-09-02
1346637337 Shelby Fullington Social Worker 1011 Ball Ave Ne, Grand Rapids, MI 49505 2015-04-17
1457745325 Lester Anderson II Social Worker 1115 Ball Ave, Grand Rapids, MI 49505 2015-03-27
1730570151 Nicole Brown Counselor 1345 Monroe Ave Nw Ste 204, Grand Rapids, MI 49505 2015-02-06
Find all providers in zip 49505

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194348813 Holly Beth Myer Student in an Organized Health Care Education/Training Program 2615 3 Mile Rd Ne, Grand Rapids, MI 49525-3944 2020-05-28
1649890559 Kelsey Anne Knowles Student in an Organized Health Care Education/Training Program 2088 Watermark Dr Se, Grand Rapids, MI 49546-9012 2020-04-21
1174142285 Jeremy David Mormol Student in an Organized Health Care Education/Training Program 100 Michigan St Ne Ste 501, Grand Rapids, MI 49503-2560 2020-04-09
1417586454 Ashutosh Agrawal Student in an Organized Health Care Education/Training Program 100 Michigan St Ne # Mc46, Grand Rapids, MI 49503-2560 2020-04-02
1265061378 Heather Gladfelter Student in an Organized Health Care Education/Training Program 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 2020-04-02
1942858048 Kyle Brandon Avery Student in an Organized Health Care Education/Training Program 223 Prospect Ave Ne, Grand Rapids, MI 49503-5649 2019-09-01
1487209516 Kathryn Ann Pilczuk Student in an Organized Health Care Education/Training Program 333 Bridge St Nw, Grand Rapids, MI 49504-5367 2019-08-06
1831752443 Mark Pressler Student in an Organized Health Care Education/Training Program 15 Michigan St Ne, Grand Rapids, MI 49503-2509 2019-04-18
1043774177 Rebecca Elyse Mitchell Student in an Organized Health Care Education/Training Program 932 Fulton St E Apt 1, Grand Rapids, MI 49503-3565 2019-01-23
1841767712 Jordon Alexander Wurst-smith Student in an Organized Health Care Education/Training Program 44 Indiana Ave Nw, Grand Rapids, MI 49504-6369 2018-10-30
Find all providers in GRAND RAPIDS

Competitor

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City GRAND RAPIDS
Zip Code 49505

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Dataset Information

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.

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