TIOCKA BENTLEY (NPI# 1073930848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073930848 |
| Entity Type | Individual |
| Full Name | TIOCKA BENTLEY |
| Credential | LPN |
| Practice Address |
1450 Leonard St Ne Grand Rapids MI 49505-5515 |
| Practice Telephone | 6167748789 |
| Practice Fax Number | 6167761305 |
| Mailing Telephone | 6167748789 |
| Mailing Fax Number | 6167761305 |
| Enumeration Date | 2014-03-18 |
| Last Update Date | 2014-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 4703093522 | MI | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | LPN | 4703093522 | 01 |
| Street Address |
1450 LEONARD ST NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49505-5515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184789737 | Joseph L Gage | Psychologist | 1450 Leonard St Ne, Grand Rapids, MI 49505-5515 | 2006-12-26 |
| 1487254223 | Tara Lynn Rockey | Licensed Practical Nurse | 1450 Leonard St Ne, Grand Rapids, MI 49505-5515 | 2020-10-30 |
| 1821639568 | Jessica Bryan Vargas | Licensed Practical Nurse | 1450 Leonard St Ne, Grand Rapids, MI 49505-5515 | 2019-10-03 |
| 1720571045 | Lauren Janness | Occupational Therapist | 1450 Leonard St Ne, Grand Rapids, MI 49505-5515 | 2018-06-12 |
| 1497261291 | Jacquelyn Suzann Davis-dudka | Registered Nurse | 1450 Leonard St Ne, Grand Rapids, MI 49505-5515 | 2017-12-17 |
| 1235651613 | Minnie Shinal | Licensed Practical Nurse | 1450 Leonard St Ne, Grand Rapids, MI 49505 | 2017-07-07 |
| 1972960060 | William G Martin | Registered Nurse | 1450 Leonard St Ne, Grand Rapids, MI 49505-5515 | 2016-01-21 |
| 1093189219 | Carol Richards | Custodial Care Facility | 1450 Leonard St Ne, Grand Rapids, MI 49505-5515 | 2015-11-26 |
| 1598168262 | Danielle Gregory | Case Manager/Care Coordinator | 1450 Leonard St Ne, Grand Rapids, MI 49505-5515 | 2014-10-08 |
| 1962828087 | Chad Underly | Licensed Practical Nurse | 1450 Leonard St Ne, Grand Rapids, MI 49505-5515 | 2014-03-13 |
| Find all providers in the same location | ||||
| 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 | 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 |
|---|---|---|---|---|
| 1841890670 | Danielle Berry | Licensed Practical Nurse | 58 Murray St Se, Grand Rapids, MI 49548-3304 | 2020-10-30 |
| 1932723236 | Jason Alexander Myers | Licensed Practical Nurse | 156 Lexington Ave Nw, Grand Rapids, MI 49504-5649 | 2020-06-02 |
| 1235760778 | Rebecca Kenney | Licensed Practical Nurse | 2201 Nelson Ave Se, Grand Rapids, MI 49507-3731 | 2020-02-03 |
| 1952932477 | Marie Groot | Licensed Practical Nurse | 1029 Eastmont Dr Se, Grand Rapids, MI 49546-3735 | 2020-02-03 |
| 1063043610 | Mary Frost | Licensed Practical Nurse | 1812 Wilbert Ave Ne, Grand Rapids, MI 49505-4746 | 2020-02-03 |
| 1073155156 | Sharee Guyton | Licensed Practical Nurse | 926 Adams St Se, Grand Rapids, MI 49507-1904 | 2019-10-10 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1881153443 | Lora Lea Hollins | Licensed Practical Nurse | 5300 Patterson Ave Se, Grand Rapids, MI 49512-5663 | 2019-03-13 |
| 1255801833 | Ikeia Tynika Hill | Licensed Practical Nurse | 1627 Lotus, Grand Rapids, MI 49508 | 2018-11-27 |
| 1689169203 | Heather Evelina Purchase | Licensed Practical Nurse | 1215 E. Fulton St, Grand Rapids, MI 49503 | 2018-06-26 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49505 |
Please comment or provide details below to improve the information on TIOCKA BENTLEY.
| 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.