VANESSA RAE SMITKO


Address: 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292
Phone: 6162678860

VANESSA RAE SMITKO (NPI# 1003387655) 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) 1003387655
Entity Type Individual
Full Name VANESSA RAE SMITKO
Credential NP-C
Practice Address 4100 Lake Dr Se Ste 300
Grand Rapids
MI 49546-8292
Mailing Address 100 Michigan St Ne # Mc845
Grand Rapids
MI 49503-2560
Practice Telephone 6162678860
Enumeration Date 2018-12-07
Last Update Date 2020-09-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
4704257394 MI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4100 LAKE DR SE STE 300
City GRAND RAPIDS
State MI
Zip Code 49546-8292

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366439432 Michael Lee Bills Physician Assistant 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292 2005-10-04
1164064895 Lorelle Joy Vanbeek Physician Assistant 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292 2019-10-15
1558829051 Jordan Taylor Friedrich Physician Assistant 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292 2019-03-04
1548732381 Erin Marie Willink Nurse Practitioner 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292 2018-12-18
1033608559 Jenade Holloway Specialist/Technologist 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292 2018-05-10
1831617497 Alexandra Marquis Schumar Physician Assistant 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292 2017-09-05
1508387093 Megan Davis Specialist/Technologist 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292 2017-07-05
1356707483 Tsz Kit Kevin Chan Orthopaedic Surgery 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292 2016-01-05
1033503594 Jacob H Reisner Physical Medicine & Rehabilitation 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292 2015-03-23
1285034074 Charles William Rieck Physician Assistant 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292 2014-08-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437762986 Amanda Mae Ostrom Speech-Language Pathologist 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 2020-08-25
1063075562 Kelly Lynn Ibarra Counselor 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 2019-04-19
1891257036 Jessica Matthews LLC Counselor 4127 Embassy Drive Se, Grand Rapids, MI 49546 2019-04-05
1326518531 Neah Morgan Technician 4220 Burton St Se, Grand Rapids, MI 49546 2018-11-29
1316430267 Michael John Benskey Case Manager/Care Coordinator 4065 Saladin St Se, Grand Rapids, MI 49546 2018-06-14
1679062772 Smile Cascade, P.C. Clinic/Center 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 2018-05-03
1720583289 Jeromy Krogman Counselor 826 Parchment Drive Se, Grand Rapids, MI 49546 2018-03-27
1841792660 Affordable Hearing Clinic Hearing Instrument Specialist 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 2018-03-07
1689176133 Kelly Pines Physical Therapist 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 2018-03-01
1467971440 Deanna Elizabeth Saenz Social Worker 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 2017-09-12
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487253654 Caleb S Parks Nurse Practitioner 1911 Hutchinson Ave Se, Grand Rapids, MI 49506-4614 2020-10-20
1689271272 Karen J Goehring Nurse Practitioner 625 Kenmoor Ave Se Ste 115, Grand Rapids, MI 49546-2395 2020-10-06
1043859846 Erika J Mehney Nurse Practitioner 2136 Chesaning Dr Se, Grand Rapids, MI 49506-5311 2019-12-27
1194368647 Amy Jo Arends Nurse Practitioner 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 2019-10-28
1104460633 Margaret Masters Nurse Practitioner 2749 Brooklyn Ave Se, Grand Rapids, MI 49507-3938 2019-10-28
1366085474 Jenna Shoemaker Nurse Practitioner 139 Manzana Ct Nw Apt 3b, Grand Rapids, MI 49534-7124 2019-10-21
1073163846 Jo-leighanne Marie Pascoe Nurse Practitioner 555 Midtowne St Ne Ste 400, Grand Rapids, MI 49503-5731 2019-09-13
1710531686 Emily Wilson Nurse Practitioner 445 Mulford Dr Se, Grand Rapids, MI 49507-3568 2019-07-30
1245882703 Rebecca Lauren Veneklase Nurse Practitioner 143 Lane Ave Sw, Grand Rapids, MI 49504-6172 2019-07-15
1871151613 Nicole Spratling Nurse Practitioner 1000 East Paris Ave Se Ste 230, Grand Rapids, MI 49546-3680 2019-06-05
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Competitor

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City GRAND RAPIDS
Zip Code 49546

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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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