KAITLIN JANE HENDRIKSMA


Address: 550 Cherry St Se, Grand Rapids, MI 49503-4748
Phone: 6162357272

KAITLIN JANE HENDRIKSMA (NPI# 1952810830) 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) 1952810830
Entity Type Individual
Full Name KAITLIN JANE HENDRIKSMA
Credential NP-C
Practice Address 550 Cherry St Se
Grand Rapids
MI 49503-4748
Mailing Address 6548 Burton St Se
Grand Rapids
MI 49546-6804
Practice Telephone 6162357272
Enumeration Date 2017-09-24
Last Update Date 2017-09-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
4704278692 MI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 550 CHERRY ST SE
City GRAND RAPIDS
State MI
Zip Code 49503-4748

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750307807 Nancy J. Pranger Obstetrics & Gynecology 550 Cherry St Se, Grand Rapids, MI 49503-4748 2006-07-14
1790391613 Mohamad Sheikh-khalil Pharmacy 550 Cherry St Se, Grand Rapids, MI 49503-4748 2020-09-16
1861024325 Michelle Lynn Heeren Dental Hygienist 550 Cherry St Se, Grand Rapids, MI 49503-4748 2020-02-12
1508415100 Rachael M Vasquez Dentist 550 Cherry St Se, Grand Rapids, MI 49503-4748 2019-09-05
1063949352 Claire Titcombe Social Worker 550 Cherry St Se, Grand Rapids, MI 49503-4748 2017-05-17
1841743655 Susana Michelle De Leon Social Worker 550 Cherry St Se, Grand Rapids, MI 49503 2016-07-27
1912356692 Kaylie Grace Kamphuis Dentist 550 Cherry St Se, Grand Rapids, MI 49503-4748 2016-06-03
1164896593 Tara Brown Dental Hygienist 550 Cherry St Se, Grand Rapids, MI 49503-4748 2015-11-23
1114308988 Enas Karim Dentist 550 Cherry St Se, Grand Rapids, MI 49503-4748 2015-06-17
1932540242 Renee Victor Monteiro Family Medicine 550 Cherry St Se, Grand Rapids, MI 49503-4748 2013-07-15
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154893956 Jacquelyn Dunn Nurse Practitioner 630 Kenmoor Ave Se Ste 102, Grand Rapids, MI 49546-8626 2018-12-19
1558900183 Kathryn Long Nurse Practitioner 1055 Medical Park Dr Se, Grand Rapids, MI 49546-3607 2019-12-30
1134690761 Koren Gebben Nurse Practitioner 1959 East Paris Ave Se, Grand Rapids, MI 49546-6272 2018-12-07
1841775483 Stacy Lu Allen Nurse Practitioner 35 Michigan St Ne Ste 4150, Grand Rapids, MI 49503-2529 2018-09-29
1538654835 Anna Marie Rykse Nurse Practitioner 25 Michigan St Ne Ste 4200, Grand Rapids, MI 49503 2018-06-28
1578065140 Kallie Rae Kraker Nurse Practitioner 4118 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 2018-02-28
1083122790 Christopher Michael Bouma Nurse Practitioner 300 68th St Se, Grand Rapids, MI 49548-6927 2018-01-16
1144732850 Michelle Kristine Buist Nurse Practitioner 35 Michigan St Ne, Grand Rapids, MI 49503-2514 2017-11-03
1962954354 Samantha Lynne Wylie Nurse Practitioner 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503-2528 2016-11-01
1881061497 Carole Lenzo Nurse Practitioner 100 Cherry St Se, Grand Rapids, MI 49503-4526 2015-08-31
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Competitor

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City GRAND RAPIDS
Zip Code 49503

Improve Information

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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.

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