LOIS R DYKSTRA (NPI# 1073606059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073606059 |
| Entity Type | Individual |
| Full Name | LOIS R DYKSTRA |
| Credential | RN |
| Practice Address |
3019 Coit Ne Grand Rapids MI 49505 |
| Mailing Address |
5104 Birch Lakeview MI 48850 |
| Practice Telephone | 6163659575 |
| Mailing Telephone | 9893526564 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
4704153985 | MI | Nursing Service Providers |
| Street Address |
3019 COIT NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285276097 | Molly Beth Kerkstra | Home Health Aide | 1115 Ball Ave Nw, Grand Rapids, MI 49505 | 2019-10-14 |
| 1154849677 | Roshawn Nichol Whitley | Technician | 891 Maryland Ave, Grand Rapids, MI 49505 | 2017-09-05 |
| 1447778923 | Kelly Benzin-brinks | Social Worker | 1965 3 Mile Rd Ne, Grand Rapids, MI 49505 | 2017-09-05 |
| 1033560404 | Taylor Nolan Boyd | Speech-Language Pathologist | 400 Ann St Ne Ste 106a, Grand Rapids, MI 49505 | 2016-06-28 |
| 1023465002 | Calvin Athy | Counselor | 1101 Ballave Ne, Grand Rapids, MI 49505 | 2016-05-19 |
| 1821456682 | Kelly Van Huisen | Counselor | 1115 Ball Avenue Ne, Building B, Grand Rapids, MI 49505 | 2016-02-08 |
| 1780051102 | Mark Squeteri | Social Worker | 1345 Monroe Ave Nw Ste 234, Grand Rapids, MI 49505 | 2015-09-02 |
| 1346637337 | Shelby Fullington | Social Worker | 1011 Ball Ave Ne, Grand Rapids, MI 49505 | 2015-04-17 |
| 1457745325 | Lester Anderson II | Social Worker | 1115 Ball Ave, Grand Rapids, MI 49505 | 2015-03-27 |
| 1730570151 | Nicole Brown | Counselor | 1345 Monroe Ave Nw Ste 204, Grand Rapids, MI 49505 | 2015-02-06 |
| Find all providers in zip 49505 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649772732 | Sue Woods | Registered Nurse | 5362 Eastern Ave Se, Grand Rapids, MI 49508-6018 | 2018-03-05 |
| 1194248815 | Melinda Huizenga | Registered Nurse | 5300 Patterson Ave Se Ste 125, Grand Rapids, MI 49512 | 2017-07-25 |
| 1952318479 | Judy Ann Martyn | Registered Nurse | 3795 4 Mile Rd Ne, Grand Rapids, MI 49525-9713 | 2006-08-01 |
| 1093314643 | Robin Renee Parks | Registered Nurse | 4150 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 | 2020-10-23 |
| 1093314817 | Dawn V E Minnesma | Registered Nurse | 4150 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 | 2020-10-22 |
| 1700499563 | Barbara Scothorn | Registered Nurse | 4150 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 | 2020-08-31 |
| 1902423940 | Christine Michelle Nash | Registered Nurse | 5300 Patterson Ave Se Ste 125, Grand Rapids, MI 49512-9627 | 2020-06-25 |
| 1992215487 | Catherine Susan Carelli | Registered Nurse | 5300 Patterson Ave Se Ste 125, Grand Rapids, MI 49512-9627 | 2017-10-10 |
| 1427592393 | Sara Burnett | Registered Nurse | 2627 E Beltline Ave Se Ste 210, Grand Rapids, MI 49546-5937 | 2016-12-13 |
| 1124562178 | Christine Ann Dodge | Registered Nurse | 2627 E Beltline Ave Se, Grand Rapids, MI 49546-5975 | 2016-12-09 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49505 |
Please comment or provide details below to improve the information on LOIS R DYKSTRA.
| 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.