ELLEN GRACE TEBOS (NPI# 1720626641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720626641 |
| Entity Type | Individual |
| Full Name | ELLEN GRACE TEBOS |
| Credential | FNP-BC |
| Practice Address |
550 W Western Ave Apt 307 Muskegon MI 49440-1086 |
| Practice Telephone | 6169149657 |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2019-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2019047894 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
550 W WESTERN AVE APT 307 |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49440-1086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588122592 | Latanya Taunnette Wheeler | Social Worker | 200 Viridian Drive, Muskegon, MI 49440 | 2019-03-08 |
| 1568932101 | Stephani Danielle Jannenga | Community Health Worker | 565 W. Western Ave., Muskegon, MI 49440 | 2018-11-27 |
| 1891180063 | Matthew R Monahan-reed | Counselor | 715 Terrace St Ste 201, Muskegon, MI 49440 | 2015-04-03 |
| 1477965242 | Krista Israel | Nurse Anesthetist, Certified Registered | 550 West Western Ave Ste B, Muskegon, MI 49440 | 2014-05-28 |
| 1285917997 | Matthew Thatcher | Counselor | 333 W Western Ave Ste 5, Muskegon, MI 49440 | 2011-09-20 |
| 1366657744 | Aegin Place of West Michigan | Counselor | 333 W. Western Ave Ste 209, Muskegon, MI 49440 | 2007-05-11 |
| 1336365055 | Raymond Jay Hilt | Dentist | 1065 Fourth St, Muskegon, MI 49440 | 2007-04-18 |
| 1851434906 | Michael Patrick Foster Sr. | Anesthesiology | 550 W. Western Ave, Suite B, Muskegon, MI 49440 | 2007-02-15 |
| 1942212667 | Joseph J Marous IIi | Radiology | 605 W Western Ave, Muskegon, MI 49440 | 2006-08-12 |
| 1417993098 | David M Gundersen | Optometrist | 442 W Western Ave, Muskegon, MI 49440 | 2006-06-21 |
| Find all providers in zip 49440 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295346104 | Justin Daniel Donoghue | Nurse Practitioner | 71 Hughey St, Muskegon, MI 49445-2115 | 2020-08-13 |
| 1952955098 | Jacqueline Somerville | Nurse Practitioner | 1481 Logan Rd, Muskegon, MI 49445-1575 | 2019-07-26 |
| 1780169367 | Lindsey Kathryn Weesies | Nurse Practitioner | 1675 Leahy St Ste 428b, Muskegon, MI 49442-5500 | 2018-09-28 |
| 1831606029 | Tonnie Thomson | Nurse Practitioner | 2558 Henry St, Muskegon, MI 49441-3024 | 2018-01-09 |
| 1851310361 | Susan K Strickfaden | Nurse Practitioner | 1440 E Sherman Blvd Ste 300, Muskegon, MI 49444-1816 | 2006-07-18 |
| 1588665574 | Valerie A Ahern | Nurse Practitioner | 3535 Park St, Suite 110, Muskegon, MI 49444-3736 | 2005-08-02 |
| 1447251442 | Margaret E Rosina Wolter | Nurse Practitioner | 2700 Baker St Fl 3, Muskegon, MI 49444-2157 | 2005-08-02 |
| 1154934842 | Nicklas Lee Raycraft | Nurse Practitioner | 1500 E Sherman Blvd, Muskegon, MI 49444-1849 | 2020-08-24 |
| 1508492570 | Zachary Mark Whittle | Nurse Practitioner | 2201 S Getty St, Muskegon, MI 49444-1207 | 2020-03-21 |
| 1851924278 | Jodi L Jongekryg | Nurse Practitioner | 1212 E Sherman Blvd, Muskegon, MI 49444-1879 | 2020-02-13 |
| Find all providers in MUSKEGON | ||||
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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.