LINDY JO DEBOER (NPI# 1720597685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720597685 |
| Entity Type | Individual |
| Full Name | LINDY JO DEBOER |
| Credential | NP-C |
| Practice Address |
3912 32nd Ave Hudsonville MI 49426 |
| Mailing Address |
5900 Byron Center Ave Sw Medical Administration Wyoming MI 49519-9606 |
| Practice Telephone | 6162528700 |
| Practice Fax Number | 6162528750 |
| Mailing Telephone | 6162523243 |
| Mailing Fax Number | 6162520260 |
| Enumeration Date | 2017-09-23 |
| Last Update Date | 2018-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 4704268643 | MI | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | 4704268643 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704268643 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | D16078451 | 05 |
| Street Address |
3912 32ND AVE |
| City | HUDSONVILLE |
| State | MI |
| Zip Code | 49426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730177379 | John Dykstra | Family Medicine | 3912 32nd Ave, Hudsonville, MI 49426-8460 | 2005-10-07 |
| 1366098840 | Lindsey Marie Devaney | Nurse Practitioner | 3912 32nd Ave, Hudsonville, MI 49426-8460 | 2019-08-12 |
| 1124594890 | Jordan Elizabeth Knot | Nurse Practitioner | 3912 32nd Ave, Hudsonville, MI 49426-8460 | 2018-10-19 |
| 1376924340 | Caitlin Mlynarek | Pediatrics | 3912 32nd Ave, Hudsonville, MI 49426 | 2015-06-15 |
| 1356376495 | Michelle Way | Physician Assistant | 3912 32nd Ave, Hudsonville, MI 49426-8460 | 2006-07-11 |
| 1093762015 | Kurt Meppelink | Pediatrics | 3912 32nd Ave, Hudsonville, MI 49426-8460 | 2006-05-27 |
| 1649234857 | Steven C Vannoord | Family Medicine | 3912 32nd Ave, Hudsonville, MI 49426-8460 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528680089 | Bree D Bode | Health Educator | 3625 Black Star St, Hudsonville, MI 49426 | 2020-05-07 |
| 1306409891 | Rachael Elizabeth Schutter | Physical Therapy Assistant | 3650 Vanburen St, Hudsonville, MI 49426 | 2019-04-19 |
| 1215430699 | Jennifer Anne-gluszewski Patterson | Physical Therapist | 6105 Wilson Ave, Wyoming, MI 49426 | 2018-03-13 |
| 1457850802 | Spectrum Health Primary Care Partners | Physician Assistant | 4075 32nd Ave, Hudsonville, MI 49426 | 2018-02-12 |
| 1952845182 | Katie Farnquist | Counselor | 1388 Baldwin St., Suite A, Jenison, MI 49426 | 2016-12-07 |
| 1205238540 | Marta Stern | Mechanotherapist | 3152a Port Sheldon Rd., Hudsonville, MI 49426 | 2014-09-18 |
| 1376883355 | Traci L Potter | Social Worker | 4216 Nancy St., Hudsonville, MI 49426 | 2013-02-27 |
| 1871846790 | Dignity Home Care Professionals | Home Health | 7499 Russell Dr, Hudsonville, MI 49426 | 2012-10-16 |
| 1427332303 | Benjamin Matthew Bringedahl | Pharmacist | 3457 Stonyridge Dr, Hudsonville, MI 49426 | 2011-10-10 |
| 1295017234 | Jennifer Lemieux | Pharmacist | 1463 Rebecca Run, Hudsonville, MI 49426 | 2011-09-15 |
| Find all providers in zip 49426 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407407315 | Rebecca Jo Vandenberge | Nurse Practitioner | 4075 32nd Ave, Hudsonville, MI 49426-8878 | 2019-09-23 |
| 1457908626 | Shadia Lynn Gallagher | Nurse Practitioner | 4075 32nd Ave, Hudsonville, MI 49426-8878 | 2019-08-22 |
| 1124594890 | Jordan Elizabeth Knot | Nurse Practitioner | 3912 32nd Ave, Hudsonville, MI 49426-8460 | 2018-10-19 |
| 1932698883 | Erica Michelle Pena | Nurse Practitioner | 4075 32nd Ave, Hudsonville, MI 49426 | 2018-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154599 | Kelly Phuong Doan | Nurse Practitioner | 27327 23 Mile Rd, Chesterfield, MI 48051-2045 | 2020-11-04 |
| 1275133217 | Maureen Mae Lewis | Nurse Practitioner | 2782 N Coleman Rd, Coleman, MI 48618-9721 | 2020-10-29 |
| 1073113460 | Taylor L Pichette | Nurse Practitioner | 758 Lucille Dr, Wolverine Lake, MI 48390-2327 | 2020-10-27 |
| 1295333938 | Amanda Covell | Nurse Practitioner | 624 Cherry St Se Apt 5, Grand Rapids, MI 49503-4778 | 2020-10-14 |
| 1689271314 | Nicole Conklin | Nurse Practitioner | 524 Doyle Rd, Laingsburg, MI 48848-9611 | 2020-10-06 |
| 1447857677 | Shelby Lynn Waibel | Nurse Practitioner | 560 W Mitchell St Ste 210, Petoskey, MI 49770-2276 | 2020-10-01 |
| 1497361638 | Amira Aljamal | Nurse Practitioner | 4601 Shenandoah Ave, Allen Park, MI 48101-3131 | 2020-09-22 |
| 1659987014 | Sean Thomas Kane | Nurse Practitioner | 13734 Parallel Ave, Alpena, MI 49707-7987 | 2020-09-21 |
| 1235743592 | Mojica, LLC | Nurse Practitioner | 4163 W Pointe Dr, Waterford, MI 48329-4648 | 2020-09-03 |
| 1942812094 | Meagan James | Nurse Practitioner | 407 E Huron River Dr, Belleville, MI 48111-2763 | 2020-08-20 |
| Find all providers with the same taxonomy | ||||
| City | HUDSONVILLE |
| Zip Code | 49426 |
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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.