HEIDI LYNNE DATEMA (NPI# 1982225538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982225538 |
| Entity Type | Individual |
| Full Name | HEIDI LYNNE DATEMA |
| Credential | LPN |
| Practice Address |
4499 Summit Forest Dr Ne Rockford MI 49341-7842 |
| Practice Telephone | 8473026995 |
| Mailing Telephone | 8473026995 |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2020-05-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 4703110270 | MI | Nursing Service Providers |
| Street Address |
4499 SUMMIT FOREST DR NE |
| City | ROCKFORD |
| State | MI |
| Zip Code | 49341-7842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801451836 | Heather Nash | Social Worker | 65 S. Main Street, Lower Level, Rockford, MI 49341 | 2019-05-06 |
| 1366967069 | Caitlin Lebron | Case Manager/Care Coordinator | 8625 Wildcat Run Dr Ne, Rockford, MI 49341 | 2017-08-03 |
| 1366967077 | Elite Nurse Staffing, LLC | Nursing Care | 3836 Windwood Drive, Ne, Rockford, MI 49341 | 2017-08-03 |
| 1336678747 | Melissa Diane Maynard | Behavior Technician | 3361 36th St., Grand Rapids, MI 49341 | 2017-06-08 |
| 1376077453 | Spectrum Health Primary Care Partners | Internal Medicine | 8501 Meadowcreek Dr, Rockford, MI 49341 | 2017-04-17 |
| 1871025254 | Robin D Dine | Behavior Technician | 8636 Shaner Ave, Rockford, MI 49341 | 2017-04-03 |
| 1528503216 | Miles Skalnek | Pharmacist | 511 10 Mile Road, Rockford, MI 49341 | 2017-01-04 |
| 1366801664 | Lorri Ann Kelbel | Massage Therapist | 11591 Northland Drive Ne, Rockford, MI 49341 | 2016-02-15 |
| 1275872046 | Eugene Louis Bonofiglo | Dentist | 4655- 14 Mile Rd Ne, Rockford, MI 49341 | 2013-02-13 |
| 1740539246 | Erica Joyce Nichols | Chiropractor | 6769 Courtland Dr, Suite 100, Rockford, MI 49341 | 2012-08-30 |
| Find all providers in zip 49341 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558920975 | Therese Marie Taylor | Licensed Practical Nurse | 148 N Main St Apt 2, Rockford, MI 49341-1016 | 2019-06-10 |
| 1356868277 | Jessica Danae Arreguin | Licensed Practical Nurse | 3121 Rural St, Rockford, IL 61107-3460 | 2017-08-23 |
| 1568813830 | Crystal Willis | Licensed Practical Nurse | 253 Roddy Branch Rd, Rockford, TN 37853-3108 | 2016-06-28 |
| 1063881936 | Matthew Field | Licensed Practical Nurse | 6897 Peninsula Dr Ne, Rockford, MI 49341-8790 | 2015-09-21 |
| 1487033643 | Ellen Kuczynski | Licensed Practical Nurse | 6644 Checkerberry Ln Ne, Rockford, MI 49341-8918 | 2015-05-21 |
| 1811332893 | Pamela Jane Moorhead | Licensed Practical Nurse | 12266 Lappley Ave Ne, Rockford, MI 49341-8453 | 2013-05-06 |
| 1871639930 | Silvia M Pike | Licensed Practical Nurse | 528 Washington St, Rockford, IL 61104-1547 | 2007-01-29 |
| 1306883475 | Elizabeth Erin Doorenbos | Licensed Practical Nurse | 6545 13 Mile Rd Ne, Rockford, MI 49341-9714 | 2006-05-31 |
| 1801360201 | Danielle Sladjana Filipov | Licensed Practical Nurse | 3815 Harrison Ave, Rockford, IL 61108-7631 | 2019-01-18 |
| 1891109070 | Mary Anne Martin | Licensed Practical Nurse | 454 N University Dr, Rockford, IL 61107-5323 | 2014-06-16 |
| Find all providers in ROCKFORD | ||||
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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.