MISS AMANDA WOODRUFF (NPI# 1912359191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912359191 |
| Entity Type | Individual |
| Full Name | MISS AMANDA WOODRUFF |
| Practice Address |
5259 Discovery Dr Se Kentwood MI 49508-6394 |
| Practice Telephone | 2698701222 |
| Mailing Telephone | 2698701222 |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2016-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366918575 | Amanda Woodruff | Dietitian, Registered | 4500 13th St, Gulfport, MS 39501-2515 | 2018-10-16 |
| 1942258074 | Amanda S Woodruff | Nurse Practitioner | 732 Harrison Ave, Preston, 3rd Floor, Boston, MA 02118-2309 | 2006-05-04 |
| Street Address |
5259 DISCOVERY DR SE |
| City | KENTWOOD |
| State | MI |
| Zip Code | 49508-6394 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012367 | Jenna Brianne Labrecque | Social Worker | 2013 East Castle Dr, Suite B, Kentwood, MI 49508 | 2020-10-27 |
| 1881208809 | Morgan Paige Ballmann | Physical Therapy Assistant | 4150 Kalamazoo Ave. Se, Grand Rapids, MI 49508 | 2020-09-08 |
| 1699385740 | Jodie Lynn Robertson | Prosthetist | 3720 Eastern Se, Grand Rapids, MI 49508 | 2020-08-04 |
| 1003460874 | Derm Institute of West Michigan Plc | Dermatology | 6750 Kalamazoo Ave, Suites C & D, Grand Rapids, MI 49508 | 2019-07-30 |
| 1255801833 | Ikeia Tynika Hill | Licensed Practical Nurse | 1627 Lotus, Grand Rapids, MI 49508 | 2018-11-27 |
| 1326556838 | Araceli Contreras-hernandez | Behavior Technician | 3566 Eastern Ave. Se, Kentwood, MI 49508 | 2018-01-18 |
| 1881102788 | A Grand Rapids Senior Social Exchange and Adult Day Center | In Home Supportive Care | 3212 Eastern Ave Se, Grand Rapids, MI 49508 | 2018-01-14 |
| 1952827107 | Nupoint Services LLC | Clinic/Center | 1620 44th Street Se, Grand Rapids, MI 49508 | 2017-08-19 |
| 1710427695 | Embracing Life Afc | Custodial Care Facility | 1405 Forrester St S.e., Grand Rapids, MI 49508 | 2017-02-27 |
| 1083162838 | Katherine Berenice Campoverde Arevalo | Technician, Other | 1157 Billigs Ct Se, Ap# 1a, Grand Rapids, MI 49508 | 2016-09-21 |
| Find all providers in zip 49508 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770030454 | Seok Min Yoon | Rehabilitation Practitioner | 4571 Kalamazoo Ave Se, Kentwood, MI 49508-4624 | 2016-09-09 |
| 1801340708 | Caroline N Gitau | Rehabilitation Practitioner | 2054 Fawnwood Dr Se, Kentwood, MI 49508-6516 | 2016-08-09 |
| 1417305111 | Krista Jo Pischner | Rehabilitation Practitioner | 3361 36th St Se, Kentwood, MI 49512-2809 | 2016-06-03 |
| 1831547629 | Brenna Egan | Rehabilitation Practitioner | 3351 36th St Se, Kentwood, MI 49512-2809 | 2016-06-02 |
| 1548618366 | Ashlyn Cox | Rehabilitation Practitioner | 3361 36th St Se, Kentwood, MI 49512-2809 | 2016-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144785205 | Lindsey Sayles | Rehabilitation Practitioner | 3115 Cascade Rd Se, Grand Rapids, MI 49506-1961 | 2019-02-04 |
| 1891274460 | Lindsey Elizabeth Mcbride | Rehabilitation Practitioner | 1570 E Beltline Ave Se, Grand Rapids, MI 49546-4446 | 2018-08-14 |
| 1003331752 | Restorative Outdoor Services LLC | Rehabilitation Practitioner | 6874 Wildwood Trl Sw, South Boardman, MI 49680-9588 | 2017-08-03 |
| 1912427121 | Kalysia Zimmerman | Rehabilitation Practitioner | 1444 Water St, Eaton Rapids, MI 48827-1860 | 2017-06-20 |
| 1104354349 | Rock Steady Boxing Mid Michigan | Rehabilitation Practitioner | 1914 S Saginaw Rd Apt 408, Midland, MI 48640-6808 | 2017-06-01 |
| 1952839532 | Alexus Miller | Rehabilitation Practitioner | 1314 Langley St Se, Grand Rapids, MI 49508-8925 | 2017-05-26 |
| 1528595055 | Amber Rose Brautigam | Rehabilitation Practitioner | 315 Fuller Ave Se # 2, Grand Rapids, MI 49506-1639 | 2017-05-15 |
| 1831625607 | April D Spotts | Rehabilitation Practitioner | 86 W Clarke Ave, Coldwater, MI 49036-1130 | 2017-05-11 |
| 1285160226 | Patrick Besse | Rehabilitation Practitioner | 10737 Wildwood Rd, Delton, MI 49046-7784 | 2017-05-11 |
| 1386170546 | Carlie Little | Rehabilitation Practitioner | 3913 Leland Ave. Nw, Comstock Park, MI 49321 | 2017-05-10 |
| Find all providers with the same taxonomy | ||||
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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.