CHAILLE LEEANN HATHAWAY (NPI# 1588912000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588912000 |
| Entity Type | Individual |
| Full Name | CHAILLE LEEANN HATHAWAY |
| Credential | CTRS |
| Practice Address |
1490 E Beltline Ave Se Grand Rapids MI 49506-4336 |
| Practice Telephone | 6169400040 |
| Mailing Telephone | 6169400040 |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2012-08-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1490 E BELTLINE AVE SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49506-4336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528043544 | Hope Network - Rehabilitation Services | Psychologist | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2005-12-13 |
| 1447859343 | Dianee Green | Technician | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2020-10-21 |
| 1104425198 | Hans Jacob Stimac | Technician | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2020-10-20 |
| 1346848835 | Katherine D Westfall | Technician | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2020-10-15 |
| 1518564806 | Lisa Merkiel | Technician | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2020-10-08 |
| 1578178919 | Kevin Guggemos | Technician | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2020-09-12 |
| 1053926998 | Amber Kay Mcglynn | Technician | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2020-09-08 |
| 1275147381 | Evan Shovels | Technician | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2020-09-04 |
| 1881207744 | Kendra Rose Coburn | Technician | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2020-08-28 |
| 1881207108 | Sarah A Schulte | Technician | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2020-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954705 | Mckenna Shank | Technician | 1409 E Beltline Ave Se, Grand Rapids, MI 49506 | 2020-08-26 |
| 1750917969 | Meghan Elizabeth Southwell | Social Worker | Counseling Center of West Michigan, 360 East Beltline Ave Ne Suite 100, Grand Rapids, MI 49506 | 2020-03-19 |
| 1356876536 | Lisa Finkbeiner | Chiropractor | 1324 Lake Dr Se Ste 1, Grand Rapids, MI 49506 | 2017-04-26 |
| 1447622964 | Ashley Robinson | Rehabilitation Practitioner | 1490 East Beltline Ave, Grand Rapids, MI 49506 | 2015-10-23 |
| 1770951584 | Stuart Segal | Behavioral Analyst | 1415 Wealthy St Se Apt 312, Grand Rapids, MI 49506 | 2015-09-10 |
| 1922476373 | Elizabeth Taylor | Nurse Practitioner | 2255 Wealthy Dr., Grand Rapids, MI 49506 | 2015-09-02 |
| 1780066092 | Carole Walters Counseling | Social Worker | 959 Wealthy St. Se, Grand Rapids, MI 49506 | 2015-06-23 |
| 1053792697 | Rosemary F. Trimpe | Social Worker | 4255 Kalamazoo Se, Grand Rapids, MI 49506 | 2015-06-09 |
| 1164809919 | Gary James | Rehabilitation Practitioner | 1490 E. Beltline Se, Grand Rapids, MI 49506 | 2015-04-30 |
| 1275925315 | Paul Cole | Counselor | 1101 Ball Ave. .se., Grand Rapids, MI 49506 | 2015-02-26 |
| Find all providers in zip 49506 | ||||
| Taxonomy Code | 225800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreation Therapist |
| A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891350153 | Brenna Joe Gallagher | Recreation Therapist | 414 Benson Ave Ne Apt 1444, Grand Rapids, MI 49503-0023 | 2019-05-02 |
| 1912240482 | Janna Kortman | Recreation Therapist | 4934 Luxemburg St Se, Grand Rapids, MI 49546-8406 | 2013-04-02 |
| 1780933903 | Kristen Leigh Bouwma | Recreation Therapist | 1942 East Beltline Se, Grand Rapids, MI 49506 | 2012-09-04 |
| 1356583801 | Sara Elizabeth Rinke | Recreation Therapist | 1490 East Beltline Se, Grand Rapids, MI 49506 | 2009-03-30 |
| 1609404805 | Kimberly Eisenbarth | Recreation Therapist | 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2020-04-01 |
| 1558992438 | Kirsten Anne Vandermeer | Recreation Therapist | 3310 Eagle Park Dr Ne Ste 100, Grand Rapids, MI 49525-4574 | 2020-01-30 |
| 1194355834 | Rachael Nicole Nietling | Recreation Therapist | 3310 Eagle Park Dr Ne Ste 100, Grand Rapids, MI 49525-4574 | 2020-01-22 |
| 1255961066 | Brittany Oom | Recreation Therapist | 475 Lake Michigan Dr Nw, Grand Rapids, MI 49504-5600 | 2020-01-21 |
| 1962046441 | Lauren Anita Macke | Recreation Therapist | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2019-10-29 |
| 1538701099 | Sarah Ann Spicer | Recreation Therapist | 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2019-10-16 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49506 |
Please comment or provide details below to improve the information on CHAILLE LEEANN HATHAWAY.
| 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.