JORDON ALEXANDER WURST-SMITH (NPI# 1841767712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841767712 |
| Entity Type | Individual |
| Full Name | JORDON ALEXANDER WURST-SMITH |
| Other Name | JORDON ALEXANDER SMITH |
| Practice Address |
44 Indiana Ave Nw Grand Rapids MI 49504-6369 |
| Practice Telephone | 6163339116 |
| Mailing Telephone | 6163339116 |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2018-10-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
44 INDIANA AVE NW |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49504-6369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477049518 | Mark Contreras | Nurse Practitioner | 72 Sheldon Blvd Se # 130, Grand Rapids, MI 49504 | 2018-07-02 |
| 1205338753 | Kelli Marie Selby | Physical Therapist | 235 Wealthy, Grand Rapids, MI 49504 | 2018-03-01 |
| 1871094474 | Kymiri Lyn Coles | Physical Therapist | 1000 Edison Ave Ne, Grand Rapids, MI 49504 | 2018-02-28 |
| 1881132744 | Courtney Glinka | Behavior Technician | 1149 Butterworth St Sw, Grand Rapids, MI 49504 | 2017-02-10 |
| 1649650300 | Alyson Renee Vela | Social Worker | 1256 Walker Ave Ne, Grand Rapids, MI 49504 | 2015-06-08 |
| 1508258500 | Grand Rapids Natural Health | Nutritionist | 638 Fulton Street W., Grand Rapids, MI 49504 | 2015-02-27 |
| 1144622598 | Robert Mclaren | Physical Therapist | 2807 Lake Michigan Dr Nw Ste 1, Grand Rapids, MI 49504 | 2014-09-17 |
| 1972854339 | Beth Ellen Gregory | Registered Nurse | 1956 Walker Avenue Northwest, Grand Rapids, MI 49504 | 2012-09-26 |
| 1588914147 | Unlimited Alternatives | Community/Behavioral Health | 282 Leonard, Grand Rapids, MI 49504 | 2012-09-11 |
| 1386912178 | Michael Allen Crawford | Pharmacist | 800 West Leonard Nw, Grand Rapids, MI 49504 | 2011-12-07 |
| Find all providers in zip 49504 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348813 | Holly Beth Myer | Student in an Organized Health Care Education/Training Program | 2615 3 Mile Rd Ne, Grand Rapids, MI 49525-3944 | 2020-05-28 |
| 1649890559 | Kelsey Anne Knowles | Student in an Organized Health Care Education/Training Program | 2088 Watermark Dr Se, Grand Rapids, MI 49546-9012 | 2020-04-21 |
| 1174142285 | Jeremy David Mormol | Student in an Organized Health Care Education/Training Program | 100 Michigan St Ne Ste 501, Grand Rapids, MI 49503-2560 | 2020-04-09 |
| 1417586454 | Ashutosh Agrawal | Student in an Organized Health Care Education/Training Program | 100 Michigan St Ne # Mc46, Grand Rapids, MI 49503-2560 | 2020-04-02 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1942858048 | Kyle Brandon Avery | Student in an Organized Health Care Education/Training Program | 223 Prospect Ave Ne, Grand Rapids, MI 49503-5649 | 2019-09-01 |
| 1487209516 | Kathryn Ann Pilczuk | Student in an Organized Health Care Education/Training Program | 333 Bridge St Nw, Grand Rapids, MI 49504-5367 | 2019-08-06 |
| 1831752443 | Mark Pressler | Student in an Organized Health Care Education/Training Program | 15 Michigan St Ne, Grand Rapids, MI 49503-2509 | 2019-04-18 |
| 1043774177 | Rebecca Elyse Mitchell | Student in an Organized Health Care Education/Training Program | 932 Fulton St E Apt 1, Grand Rapids, MI 49503-3565 | 2019-01-23 |
| 1285125039 | Leslie Anne Veneman | Student in an Organized Health Care Education/Training Program | 6730 Cascade Rd Se, Grand Rapids, MI 49546-8718 | 2018-05-27 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49504 |
Please comment or provide details below to improve the information on JORDON ALEXANDER WURST-SMITH.
| 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.