LACIE L FEDEWA


Address: 3322 E Beltline Ct Ne, Grand Rapids, MI 49525-9480
Phone: 6162677015

LACIE L FEDEWA (NPI# 1760764732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760764732
Entity Type Individual
Full Name LACIE L FEDEWA
Other Name LACIE L LORKOWSKI
Credential NP
Practice Address 3322 E Beltline Ct Ne
Grand Rapids
MI 49525-9480
Mailing Address 100 Michigan St Ne
Mc845
Grand Rapids
MI 49503-2560
Practice Telephone 6162677015
Enumeration Date 2011-09-15
Last Update Date 2011-09-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 4704254325 MI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3322 E BELTLINE CT NE
City GRAND RAPIDS
State MI
Zip Code 49525-9480

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881641694 Timothy Thoits Psychiatry & Neurology 3322 E Beltline Ct Ne, Grand Rapids, MI 49525-9480 2006-05-27
1700492683 Carly Elizabeth Thompson Nurse Practitioner 3322 E Beltline Ct Ne, Grand Rapids, MI 49525-9480 2020-09-16
1326519950 Melissa Marie Outman Nurse Practitioner 3322 E Beltline Ct Ne, Grand Rapids, MI 49525-9480 2018-12-07
1962941518 Christian Healthcare Centers, Inc. Pediatrics 3322 E Beltline Ct Ne, Grand Rapids, MI 49525-9480 2017-02-15
1285044271 Ashleigh Collar Michaud Physician Assistant 3322 E Beltline Ct Ne, Grand Rapids, MI 49525-9480 2014-04-30
1710264379 Maegan Rae Hatfield-eldred Clinical Neuropsychologist 3322 E Beltline Ct Ne, Grand Rapids, MI 49525-9480 2011-11-10
1356640494 Spectrum Health Primary Care Partners Social Worker 3322 E Beltline Ct Ne, Grand Rapids, MI 49525-9480 2011-03-15
1508175779 Spectrum Health Primary Care Partners Psychiatry & Neurology 3322 E Beltline Ct Ne, Grand Rapids, MI 49525-9480 2010-10-05
1720222748 Martha R Thormeier Social Worker 3322 E Beltline Ct Ne, Grand Rapids, MI 49525-9480 2009-04-21
1164680294 Michigan Medical PC Durable Medical Equipment & Medical Supplies 3322 E Beltline Ct Ne, Grand Rapids, MI 49525-9480 2008-05-27
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053928507 Therapy With Nicole Pllc Community/Behavioral Health 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 2020-09-29
1184242760 Christian Healthcare Specialists, Inc. Obstetrics & Gynecology 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 2020-07-09
1174154645 Amy Vanderslik Case Manager/Care Coordinator 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 2020-02-03
1477195246 Epic Discoveries LLC Counselor 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 2019-10-14
1598228959 Kim Scherencel Lmsw Counseling Social Worker 3280 Beltline Ne, Grand Rapids, MI 49525 2019-04-11
1821558958 Mindful Trajectories Social Worker 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 2019-03-24
1104380518 Julianne Lettinga, Ma Lpc Counseling Counselor 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 2019-01-30
1396227229 Christopher Scot Doucette Social Worker 2064 Airway St Ne, Grand Rapids, MI 49525 2018-09-06
1568976017 Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry Dentist 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 2017-11-20
1407389604 Kelly Jo Crabb Social Worker 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 2017-04-05
Find all providers in zip 49525

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295333938 Amanda Covell Nurse Practitioner 624 Cherry St Se Apt 5, Grand Rapids, MI 49503-4778 2020-10-14
1699315747 Kevin Hengeveld Nurse Practitioner 300 Lafayette Ave Se Ste 2045, Grand Rapids, MI 49503-4692 2020-01-07
1134765027 Kerri L. Pighetti Nurse Practitioner 4829 E Beltline Ave Ne Ste 300, Grand Rapids, MI 49525-9350 2019-11-26
1497398374 Brittany Pebbles Nurse Practitioner 2155 E Paris Ave Se Ste 220, Grand Rapids, MI 49546-6142 2019-10-23
1386205912 Erica Lea Spalding Nurse Practitioner 310 Lafayette Ave Se Ste 400, Grand Rapids, MI 49503-4693 2019-06-25
1184024481 Kari Jo Hill Nurse Practitioner 310 Lafayette Ave Se Ste 415, Grand Rapids, MI 49503-4693 2014-08-25
1861798878 Julie A Grech Nurse Practitioner 221 Michigan Ne, Suite 600, Grand Rapids, MI 49503 2011-02-09
1104121714 Karen Bliss Harper Nurse Practitioner 3230 Eagle Park Dr Ne Ste 200, Heartland Hospice #4624, Grand Rapids, MI 49525-7047 2011-01-13
1235459033 Sandra Van Brouwer Nurse Practitioner 35 Michigan St. Ne, Suite 4150, Grand Rapids, MI 49503-2539 2010-06-03
1225269095 Connie Ruth Mattice Nurse Practitioner 425 Cherry St. S.e, Planned Parenthood Centers of West Michigan, Grand Rapids, MI 49503 2009-07-28
Find all providers in GRAND RAPIDS

Competitor

Search similar providers

City GRAND RAPIDS
Zip Code 49525

Improve Information

Please comment or provide details below to improve the information on LACIE L FEDEWA.

Dataset Information

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.

Trending Searches