MEREDITH KENT (NPI# 1790986917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790986917 |
Entity Type | Individual |
Full Name | MEREDITH KENT |
Credential | PA |
Practice Address |
1111 Leffingwell Ave Ne Suite 200 Grand Rapids MI 49525-6406 |
Mailing Address |
555 Midtowne St Ne Suite 110 Grand Rapids MI 49503-5729 |
Practice Telephone | 6164597101 |
Practice Fax Number | 6164646170 |
Mailing Telephone | 6165888880 |
Mailing Fax Number | 6165888881 |
Enumeration Date | 2007-05-29 |
Last Update Date | 2017-04-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601005209 | MI | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AM0700X |
Physician Assistant Specialization: Medical |
085-002759 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1111 LEFFINGWELL AVE NE SUITE 200 |
City | GRAND RAPIDS |
State | MI |
Zip Code | 49525-6406 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437151834 | William G Brinkmeier | Physician Assistant | 1111 Leffingwell Ave Ne, Ste 100, Grand Rapids, MI 49525-6406 | 2005-08-15 |
1316571334 | Beth A Ronda | Occupational Therapist | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2020-02-28 |
1811535172 | Kaylyn Fales | Specialist/Technologist | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2019-12-18 |
1275170540 | Marissa Marguerite Hansen | Physical Therapist | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2019-12-05 |
1285120568 | Danielle M Beaudoin | Physical Therapist | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2018-07-10 |
1235630203 | Michael D Newlin | Physical Therapist | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2018-02-26 |
1649787128 | Corey John Koll | Physician Assistant | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2018-01-05 |
1144735093 | Bradley M Griffin | Occupational Therapist | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2017-12-13 |
1811412315 | Logan M Neil | Physical Therapist | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2017-08-07 |
1053848929 | Hilary May Fredricks | Physical Therapist | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2017-05-22 |
Find all providers in the same location |
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 Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740839505 | Rachel Lauren Zokoe | Physician Assistant | 4024 Park East Ct Se Ste C, Grand Rapids, MI 49546-8810 | 2019-09-05 |
1689046187 | Emily Lauren Amato | Physician Assistant | 1310 E Beltline Ave Se Ste 130, Grand Rapids, MI 49506-4303 | 2015-10-22 |
1568864353 | Brittany L Babiak | Physician Assistant | 4362 Cascade Rd Se Ste 206, Grand Rapids, MI 49546-3670 | 2014-09-23 |
1760760037 | Cristian Rodriguez | Physician Assistant | 2155 Buchanan St Sw, Grand Rapids, MI 49507 | 2011-08-03 |
1851423750 | Barbara Ann Grinwis | Physician Assistant | 522 Leonard St Nw, Grand Rapids, MI 49504-4258 | 2007-03-09 |
1922170158 | Robin M Iknayan | Physician Assistant | 350 Lafayette Ave Se Fl 4, Grand Rapids, MI 49503-4656 | 2006-11-14 |
1043391154 | Marc Allen Bush | Physician Assistant | 100 Michigan St. Nw, Suite A721, Grand Rapids, MI 49503 | 2006-10-17 |
1437254430 | David Joseph Barney | Physician Assistant | 6690 Crossings Dr Se Ste C, Grand Rapids, MI 49508 | 2006-09-14 |
1144232505 | Robert W Schmitt | Physician Assistant | 3260 Eagle Park Dr Ne Ste 115, Grand Rapids, MI 49525-4569 | 2006-08-13 |
1598775322 | Crystal A Dole | Physician Assistant | 2155 E Paris Ave Se Ste 210, Grand Rapids, MI 49546-6142 | 2006-08-08 |
Find all providers in GRAND RAPIDS |
City | GRAND RAPIDS |
Zip Code | 49525 |
Please comment or provide details below to improve the information on MEREDITH KENT.
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.