DIANA LIGHTFOOT (NPI# 1053414128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053414128 |
| Entity Type | Individual |
| Full Name | DIANA LIGHTFOOT |
| Credential | PA |
| Practice Address |
2332 Alpine Ave Nw Grand Rapids MI 49544-1955 |
| Mailing Address |
100 Michigan St Ne Mc 109 Attn Julie L Grand Rapids MI 49503-2560 |
| Practice Telephone | 6163916220 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601004545 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568838613 | Diana Lightfoot | Social Worker | 2200 Lake Ave, Suite 225, Fort Wayne, IN 46805-5397 | 2015-08-12 |
| Street Address |
2332 ALPINE AVE NW |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49544-1955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477534642 | Ginger K Biesbrock | Physician Assistant | 2332 Alpine Ave Nw, Grand Rapids, MI 49544-1955 | 2005-11-07 |
| 1154832160 | Jordan Blake Ashdown | Physician Assistant | 2332 Alpine Ave Nw, Grand Rapids, MI 49544-1955 | 2017-10-17 |
| 1184142556 | Adrienne R Cook | Nurse Practitioner | 2332 Alpine Ave Nw, Grand Rapids, MI 49544-1955 | 2017-09-06 |
| 1861928178 | Heidi Draft-peppin | Social Worker | 2332 Alpine Ave Nw, Grand Rapids, MI 49544-1955 | 2017-05-05 |
| 1215484324 | Danielle Lobdell | Nurse Practitioner | 2332 Alpine Ave Nw, Grand Rapids, MI 49544-1955 | 2016-09-07 |
| 1447685896 | Spectrum Health Primary Care Partners | Family Medicine | 2332 Alpine Ave Nw, Grand Rapids, MI 49544-1955 | 2013-09-04 |
| 1518209725 | Spectrum Health Hospitals | Emergency Medicine | 2332 Alpine Ave Nw, Grand Rapids, MI 49544-1955 | 2013-03-26 |
| 1538401740 | Spectrum Health Primary Care Partners | Emergency Medicine | 2332 Alpine Ave Nw, Grand Rapids, MI 49544-1955 | 2013-03-26 |
| 1366788515 | Blair Anthony Stepp | Physician Assistant | 2332 Alpine Ave Nw, Grand Rapids, MI 49544-1955 | 2012-12-17 |
| 1962717850 | My Tu Ly | Physician Assistant | 2332 Alpine Ave Nw, Grand Rapids, MI 49544-1955 | 2010-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764511 | Titiana Shanee Richardson | Social Worker | 113 Lake Michigan Drive Northwest, Grand Rapids, MI 49544 | 2020-09-15 |
| 1699317792 | Leah Grace Nesburg | Speech-Language Pathologist | 600 3 Mile Road Nw, Suite 102, Walker, MI 49544 | 2019-10-10 |
| 1316467954 | Hendrik Vanholsbeeck | Dentist | 2515 Alpine Ave Nw # A, Grand Rapids, MI 49544 | 2017-06-25 |
| 1467988584 | Leah Feenstra | Behavior Technician | 668 3 Mile Nw, Grand Rapids, MI 49544 | 2017-05-10 |
| 1760920698 | Heidi Catherine Stultz-griffey | Pharmacist | 970 4 Mile Rd Nw Apt 1d, Grand Rapids, MI 49544 | 2017-02-12 |
| 1336591791 | Nicole Totten | Dentist | 3320 Alpine Ave., Grand Rapids, MI 49544 | 2016-07-11 |
| 1255789145 | Lucas David Kelley | Technician, Other | 668 3 Mile Ave Nw, Suite 2, Grand Rapids, MI 49544 | 2016-06-01 |
| 1144611666 | Stephen Kornoely | Social Worker | 2118 3 Mile Road Nw, Grand Rapids, MI 49544 | 2015-02-06 |
| 1023368305 | Brian William Rogers | Registered Nurse | 712 North Center Dr. Nw, Grand Rapids, MI 49544 | 2012-09-14 |
| 1477885325 | Wilson and Wynn Interventions | Community/Behavioral Health | 680 Three Mile Nw, Suite 150, Grand Rapids, MI 49544 | 2010-02-03 |
| Find all providers in zip 49544 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473198 | Rachel M. Graziano | Physician Assistant | 18 Lowell Ave Ne, Grand Rapids, MI 49503-3760 | 2020-10-07 |
| 1811537269 | Joseph Salvatore Giovannucci | Physician Assistant | 145 Michigan St Ne Ste 2230, Grand Rapids, MI 49503-2562 | 2020-01-14 |
| 1326685686 | Mitchell Lebel | Physician Assistant | 932 Fulton St E Unit 1, Grand Rapids, MI 49503-3565 | 2019-12-05 |
| 1326680331 | Emily Wallace | Physician Assistant | 1661 Philadelphia Ave Se, Grand Rapids, MI 49507-2251 | 2019-10-10 |
| 1124688197 | Leeann Marie Kuehn | Physician Assistant | 218 Warren Ave Se, Grand Rapids, MI 49506-1582 | 2019-06-20 |
| 1770057549 | Shelby Elizabeth Hunt | Physician Assistant | 100 Michigan St Ne # Mc9017, Grand Rapids, MI 49503-2560 | 2019-01-15 |
| 1063906865 | Kimberly Eccher | Physician Assistant | 300 68th St. Se, Grand Rapids, MI 49548 | 2018-06-15 |
| 1174029094 | Katrina Ann Brummel | Physician Assistant | 555 Midtowne St Ne Ste 110, Grand Rapids, MI 49503-5731 | 2018-03-30 |
| 1902312994 | Aaron Michaud | Physician Assistant | 301 Barclay Ave Ne, Grand Rapids, MI 49503 | 2017-12-28 |
| 1538687215 | Sonia Nicola | Physician Assistant | 4100 Embassy Dr Se Ste 400, Grand Rapids, MI 49546-2416 | 2017-09-01 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49544 |
Please comment or provide details below to improve the information on DIANA LIGHTFOOT.
| 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.