LAKER PROSTHETICS (NPI# 1154894046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154894046 |
| Entity Type | Organization |
| Organization Name | LAKER PROSTHETICS |
| Practice Address |
5181 Plainfield Ave Ne Suite D Grand Rapids MI 49525 |
| Practice Telephone | 6164908564 |
| Practice Fax Number | 6164692962 |
| Mailing Telephone | 6164908564 |
| Mailing Fax Number | 6164692962 |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2019-07-15 |
| Authorized Official Name | MR. SEAN PAUL TAYLOR (OWNER) |
| Authorized Official Telephone | 6164908564 |
| Authorized Official Credential | CP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ABC | CP03634 | 01 |
| Street Address |
5181 PLAINFIELD AVE NE SUITE D |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235277831 | Robert Dennis Allers | Psychologist | 5181 Plainfield Ave Ne, Suite C, Grand Rapids, MI 49525-1086 | 2007-02-03 |
| 1275660185 | Kimberly Irene Marie Brown | Counselor | 5181 Plainfield Ave Ne, Suite C, Grand Rapids, MI 49525-1086 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1174154645 | Amy Vanderslik | Case Manager/Care Coordinator | 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 | 2020-02-03 |
| 1477195246 | Epic Discoveries LLC | Counselor | 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 | 2019-10-14 |
| 1598228959 | Kim Scherencel Lmsw Counseling | Social Worker | 3280 Beltline Ne, Grand Rapids, MI 49525 | 2019-04-11 |
| 1821558958 | Mindful Trajectories | Social Worker | 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 | 2019-03-24 |
| 1104380518 | Julianne Lettinga, Ma Lpc Counseling | Counselor | 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 | 2019-01-30 |
| 1396227229 | Christopher Scot Doucette | Social Worker | 2064 Airway St Ne, Grand Rapids, MI 49525 | 2018-09-06 |
| 1568976017 | Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry | Dentist | 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 | 2017-11-20 |
| 1407389604 | Kelly Jo Crabb | Social Worker | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 | 2017-04-05 |
| Find all providers in zip 49525 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699385740 | Jodie Lynn Robertson | Prosthetist | 3720 Eastern Se, Grand Rapids, MI 49508 | 2020-08-04 |
| 1841531175 | Lindsay Muntick | Prosthetist | 5005 Cascade Rd Se, Grand Rapids, MI 49546-8411 | 2013-03-12 |
| 1881637015 | Jennifer A Foster | Prosthetist | 230 Michigan St Ne, Suite 300, Grand Rapids, MI 49503 | 2006-06-14 |
| 1255380952 | Thomas Szczytko | Prosthetist | 230 Michigan St Ne, Ste 200, Grand Rapids, MI 49503-2550 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447877212 | Kewanna Lenise Hill | Prosthetist | 20533 Poinciana, Redford, MI 48240-1201 | 2020-06-28 |
| 1003443334 | Denitia Lynnice Morris | Prosthetist | 21537 Kelly Rd, Eastpointe, MI 48021-3213 | 2020-03-25 |
| 1245872118 | Kyra Canada | Prosthetist | 27491 Bell Rd, Southfield, MI 48034-2080 | 2019-10-11 |
| 1356902449 | Mary Free Bed Orthotics and Prosthetics | Prosthetist | 7123 Stadium Dr, Kalamazoo, MI 49009-4943 | 2019-06-28 |
| 1871958439 | Kainnon Vilminot | Prosthetist | 3469 E Grand River Ave, Suite 110, Howell, MI 48843-8504 | 2015-12-28 |
| 1629441258 | Joshua Ryder | Prosthetist | 4915 Stanton Blvd, Montague, MI 49437-1039 | 2015-11-04 |
| 1588953426 | Angela Carthan-fox | Prosthetist | 1028 Professional Dr Ste A5, Flint, MI 48532-3635 | 2011-03-31 |
| 1821306911 | Paul R Cauley | Prosthetist | 6438 Woodward Ave, Detroit, MI 48202-3216 | 2010-09-22 |
| 1851503262 | Muriel Sara Robinson | Prosthetist | 32 E 8th St, Holland, MI 49423-3502 | 2007-05-06 |
| 1346271640 | Rex Windsor Miller | Prosthetist | 2255 S Linden Rd, Flint, MI 48532-5417 | 2006-07-05 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49525 |
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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.