LATRICE MENDENHALL (NPI# 1992255996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992255996 |
| Entity Type | Individual |
| Full Name | LATRICE MENDENHALL |
| Practice Address |
2150 Countrywood Dr Se Grand Rapids MI 49508-5029 |
| Practice Telephone | 6163292507 |
| Mailing Telephone | 6163292507 |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 4704267597 | MI | Nursing Service Providers |
| Street Address |
2150 COUNTRYWOOD DR SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49508-5029 |
| 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 | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and 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 |
|---|---|---|---|---|
| 1669097333 | Nathan Baar | Registered Nurse | 2230 Chesapeake Dr Ne, Grand Rapids, MI 49505-6407 | 2020-06-09 |
| 1689208597 | Kara Witmer | Registered Nurse | 1758 32nd St Se, Grand Rapids, MI 49508-1404 | 2020-02-29 |
| 1417587072 | Jared Jennings Poppen | Registered Nurse | 2561 Stockwood Dr Ne, Grand Rapids, MI 49505-3984 | 2020-01-23 |
| 1659901726 | Eryka Paige Dubois | Registered Nurse | 301 Fountain St Ne Apt 24, Grand Rapids, MI 49503-5628 | 2020-01-17 |
| 1518522531 | Teresa A Selgo | Registered Nurse | 2410 Westbrook Dr Nw, Grand Rapids, MI 49504-2343 | 2019-05-06 |
| 1144885443 | Jessica Parm | Registered Nurse | 756 Wealthy St Se, Grand Rapids, MI 49503-5554 | 2019-05-02 |
| 1508329244 | Sharon Ann Pietrzak | Registered Nurse | 1630 Saginaw Rd Se, Grand Rapids, MI 49506-5263 | 2019-04-10 |
| 1639631039 | Ruth Lois Ruiter | Registered Nurse | 1477 Langley St Se, Grand Rapids, MI 49508-3510 | 2019-04-03 |
| 1841751021 | Gloria Denise Sanders | Registered Nurse | 5935 Wind Brook Ave Se, Grand Rapids, MI 49508-0619 | 2019-03-28 |
| 1922568492 | James Sweet | Registered Nurse | 5715 Christie Ave Se, Grand Rapids, MI 49508-6236 | 2019-03-21 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49508 |
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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.