LORISSA MATTHYSSE (NPI# 1871076380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871076380 |
| Entity Type | Individual |
| Full Name | LORISSA MATTHYSSE |
| Credential | BSW |
| Practice Address |
1131 Ionia Ave Nw Grand Rapids MI 49503-1020 |
| Practice Telephone | 6162597900 |
| Practice Fax Number | 6162597909 |
| Mailing Telephone | 6162597900 |
| Mailing Fax Number | 6162597909 |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2018-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| 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 |
1131 IONIA AVE NW |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-1020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518236900 | Melissa Yvonne Clark | Counselor | 1131 Ionia Ave Nw, Grand Rapids, MI 49503-1020 | 2011-12-14 |
| 1972122182 | Zachary Stepanovich | Specialist | 1131 Ionia Ave Nw, Grand Rapids, MI 49503-1020 | 2020-04-09 |
| 1811526429 | Olivia Hoffmeyer | Specialist | 1131 Ionia Ave Nw, Grand Rapids, MI 49503-1020 | 2020-04-06 |
| 1396384426 | Ann Cudney | Registered Nurse | 1131 Ionia Ave Nw, Grand Rapids, MI 49503-1020 | 2020-01-07 |
| 1346886546 | Kanani Grover | Social Worker | 1131 Ionia Ave Nw, Grand Rapids, MI 49503-1020 | 2019-11-22 |
| 1992353809 | Nathan Huyck | Specialist | 1131 Ionia Ave Nw, Grand Rapids, MI 49503-1020 | 2019-09-04 |
| 1245891217 | Jason Brittain | Social Worker | 1131 Ionia Ave Nw, Grand Rapids, MI 49503-1020 | 2019-06-21 |
| 1861058273 | Jennifer Wilssens | Student in an Organized Health Care Education/Training Program | 1131 Ionia Ave Nw, Grand Rapids, MI 49503-1020 | 2019-05-13 |
| 1295399749 | Emily Marie Stark | Social Worker | 1131 Ionia Ave Nw, Grand Rapids, MI 49503-1020 | 2019-04-30 |
| 1235614702 | Glenda Thompson | Specialist | 1131 Ionia Ave Nw, Grand Rapids, MI 49503-1020 | 2018-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 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 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| 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 |
| 1841767712 | Jordon Alexander Wurst-smith | Student in an Organized Health Care Education/Training Program | 44 Indiana Ave Nw, Grand Rapids, MI 49504-6369 | 2018-10-30 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
Please comment or provide details below to improve the information on LORISSA MATTHYSSE.
| 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.