LAUREN JANNESS (NPI# 1720571045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720571045 |
| Entity Type | Individual |
| Full Name | LAUREN JANNESS |
| Credential | OTR/L |
| Practice Address |
1450 Leonard St Ne Grand Rapids MI 49505-5515 |
| Practice Telephone | 6167748789 |
| Mailing Telephone | 2482248871 |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2019-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 5201010451 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225X00000X | Occupational Therapist | 056.012097 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY CERTIFI | 390494 | 01 | |
| MI | STATE LICENSE | 5201010451 | 01 |
| IL | STATE LICENSE | 056.012097 | 01 |
| Street Address |
1450 LEONARD ST NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49505-5515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184789737 | Joseph L Gage | Psychologist | 1450 Leonard St Ne, Grand Rapids, MI 49505-5515 | 2006-12-26 |
| 1487254223 | Tara Lynn Rockey | Licensed Practical Nurse | 1450 Leonard St Ne, Grand Rapids, MI 49505-5515 | 2020-10-30 |
| 1821639568 | Jessica Bryan Vargas | Licensed Practical Nurse | 1450 Leonard St Ne, Grand Rapids, MI 49505-5515 | 2019-10-03 |
| 1497261291 | Jacquelyn Suzann Davis-dudka | Registered Nurse | 1450 Leonard St Ne, Grand Rapids, MI 49505-5515 | 2017-12-17 |
| 1235651613 | Minnie Shinal | Licensed Practical Nurse | 1450 Leonard St Ne, Grand Rapids, MI 49505 | 2017-07-07 |
| 1972960060 | William G Martin | Registered Nurse | 1450 Leonard St Ne, Grand Rapids, MI 49505-5515 | 2016-01-21 |
| 1093189219 | Carol Richards | Custodial Care Facility | 1450 Leonard St Ne, Grand Rapids, MI 49505-5515 | 2015-11-26 |
| 1598168262 | Danielle Gregory | Case Manager/Care Coordinator | 1450 Leonard St Ne, Grand Rapids, MI 49505-5515 | 2014-10-08 |
| 1073930848 | Tiocka Bentley | Licensed Practical Nurse | 1450 Leonard St Ne, Grand Rapids, MI 49505-5515 | 2014-03-18 |
| 1962828087 | Chad Underly | Licensed Practical Nurse | 1450 Leonard St Ne, Grand Rapids, MI 49505-5515 | 2014-03-13 |
| Find all providers in the same location | ||||
| 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 Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1033771522 | Abigail Peters | Occupational Therapist | 1845 Boston St Se, Grand Rapids, MI 49506-4400 | 2019-07-03 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1508342403 | Kelsey Elizabeth Ewald | Occupational Therapist | 910 Hovey St Sw, Grand Rapids, MI 49504-6230 | 2018-07-13 |
| 1386138113 | Judith Helen Siegert | Occupational Therapist | 4450 Cascade Rd Se Ste 200, Grand Rapids, MI 49546-3633 | 2018-06-15 |
| 1689164535 | Kerry Ann Macdonald | Occupational Therapist | 1147 Sibley St Nw, Grand Rapids, MI 49504-5459 | 2018-05-16 |
| 1821595711 | Karen Amal Farhat-hendricks | Occupational Therapist | 3683 Maplebrook Dr Nw, Grand Rapids, MI 49534-2709 | 2018-04-09 |
| 1003310848 | Jessica Michelle Flood | Occupational Therapist | 2750 E Beltline Ave Ne # Mc279, Grand Rapids, MI 49525-8614 | 2018-03-19 |
| 1043713175 | Stacey Marie Schaub | Occupational Therapist | 750 Fuller Avenue, Grand Rapids, MI 49503 | 2018-03-15 |
| 1467955906 | Rachelle Schultz | Occupational Therapist | 4234 Shadowlawn Ct Ne, Grand Rapids, MI 49525-1921 | 2018-03-12 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49505 |
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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.