DR. AMY MANDERSCHEID (NPI# 1609482330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609482330 |
| Entity Type | Individual |
| Full Name | DR. AMY MANDERSCHEID |
| Credential | DNP, RN, AGPCNP-BC |
| Practice Address |
100 Michigan St Ne # Mc845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6164866790 |
| Mailing Telephone | 6164866790 |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2020-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
4704242360 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
100 MICHIGAN ST NE # MC845 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-2560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972936060 | Sebastian T Hohl | Physician Assistant | 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 | 2013-08-13 |
| 1497354930 | Kathleen Ellen Campbell | Physical Therapist | 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 | 2020-10-24 |
| 1689281396 | Hillary Maxine Ottenbaker | Nurse Practitioner | 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 | 2020-09-26 |
| 1104431477 | Mallory Marlowe | Physician Assistant | 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 | 2020-09-13 |
| 1295343986 | Elizabeth Ann Evans | Nurse Practitioner | 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 | 2020-07-19 |
| 1811505001 | Alyssa Marie Scholten | Speech-Language Pathologist | 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 | 2020-07-14 |
| 1699399345 | Haley Madison Riemer | Technician/Technologist | 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 | 2020-05-28 |
| 1952923427 | Emily Kniowski Redder | Dietitian, Registered | 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 | 2020-05-07 |
| 1629605845 | Caitlyn Nicole Melamed | Dietitian, Registered | 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 | 2020-03-26 |
| 1609400555 | Dawn Langejans | Speech-Language Pathologist | 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 | 2020-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 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 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306318498 | Ashley Marie Jacobson | Nurse Practitioner | 4100 Lake Dr Se Ste D, Grand Rapids, MI 49546-8292 | 2018-12-30 |
| 1568931673 | Jennifer Lavigne | Nurse Practitioner | 145 Michigan St Ne Ste 3300, Grand Rapids, MI 49503-2562 | 2018-11-19 |
| 1851886220 | Laura Maclam | Nurse Practitioner | 524 Marywood Dr Ne, Grand Rapids, MI 49505-4149 | 2018-06-27 |
| 1417563339 | Samantha Marie Utter | Nurse Practitioner | 25 Michigan St Ne Ste 6100, Grand Rapids, MI 49503-2561 | 2020-09-16 |
| 1295343986 | Elizabeth Ann Evans | Nurse Practitioner | 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 | 2020-07-19 |
| 1669098935 | Andrea Lynn Giffel | Nurse Practitioner | 145 Michigan St Ne Ste 3410, Grand Rapids, MI 49503-2563 | 2020-06-22 |
| 1326672767 | Andrea Patrice Sewell | Nurse Practitioner | 25 Michigan St Ne Ste 6100, Grand Rapids, MI 49503-2561 | 2020-02-25 |
| 1356971261 | Sarah Marie Nava | Nurse Practitioner | 100 Michigan St Ne # Mc019, Grand Rapids, MI 49503-2560 | 2020-01-20 |
| 1790323970 | Joshua Dennis Witherspoon | Nurse Practitioner | 7751 Byron Center Ave Sw, Suite C, Grand Rapids, MI 49351 | 2019-12-18 |
| 1538705660 | Mavjuda Saydazamova | Nurse Practitioner | 80 68th St Se, Grand Rapids, MI 49548-6980 | 2019-11-25 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
Please comment or provide details below to improve the information on DR. AMY MANDERSCHEID.
| 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.