NICKLAS LEE RAYCRAFT (NPI# 1154934842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154934842 |
| Entity Type | Individual |
| Full Name | NICKLAS LEE RAYCRAFT |
| Credential | FNP-C |
| Practice Address |
1500 E Sherman Blvd Muskegon MI 49444-1849 |
| Mailing Address |
671 Whitman Ave Holland MI 49423-6742 |
| Practice Telephone | 2317284601 |
| Mailing Telephone | 8105887066 |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2020-08-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704318829 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1500 E SHERMAN BLVD |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49444-1849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740282904 | James J Bleicher | Internal Medicine | 1500 E Sherman Blvd, Muskegon, MI 49444-1849 | 2005-06-01 |
| 1447860499 | Michael Edward Curran | Pharmacist | 1500 E Sherman Blvd, Muskegon, MI 49444-1849 | 2020-08-05 |
| 1669098810 | Keith Abraham | Registered Nurse | 1500 E Sherman Blvd, Muskegon, MI 49444-1849 | 2020-06-24 |
| 1689299018 | Baldwin Family Health Care | Dentist | 1500 E Sherman Blvd, Muskegon, MI 49444-1849 | 2020-06-11 |
| 1740804616 | Tanner Thomas Hecht | Physician Assistant | 1500 E Sherman Blvd, Muskegon, MI 49444-1849 | 2020-06-05 |
| 1770112930 | Luis M Rodriguez-galliano | Student in an Organized Health Care Education/Training Program | 1500 E Sherman Blvd, Muskegon, MI 49444-1849 | 2020-04-08 |
| 1487283628 | Kristen D Bruce | Student in an Organized Health Care Education/Training Program | 1500 E Sherman Blvd, Muskegon, MI 49444-1849 | 2020-04-08 |
| 1700415965 | Matthew Anthony Wagner | Student in an Organized Health Care Education/Training Program | 1500 E Sherman Blvd, Muskegon, MI 49444-1849 | 2020-04-08 |
| 1003445263 | Kyle Nathaniel Turcic | Student in an Organized Health Care Education/Training Program | 1500 E Sherman Blvd, Muskegon, MI 49444-1849 | 2020-04-08 |
| 1538708227 | Austin Vanree | Physician Assistant | 1500 E Sherman Blvd, Muskegon, MI 49444-1849 | 2019-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073084349 | Cathy Forrest, Ma, LLP Plc | Psychologist | 255 Seminole Road, Suite-205, Muskegon, MI 49444 | 2018-12-16 |
| 1831687276 | Sarah J Weiden | Massage Therapist | 1040 E Sternberg Rd, Muskegon, MI 49444 | 2018-04-30 |
| 1184131500 | Hatem M Gelani Sr. | Dentist | 1725 E Sherman Blvd, Muskegon, MI 49444 | 2018-01-08 |
| 1497123673 | Rite Aid | Pharmacist | 2213 E Hile Road, Muskegon, MI 49444 | 2015-09-04 |
| 1689077075 | Rosa Carpenter-parker | Counselor | 445 East Sherman, Muskegon, MI 49444 | 2014-09-30 |
| 1417373036 | Smile Center Pllc | Dentist | 3500 Park Street, Smile Center Pllc, Muskegon, MI 49444 | 2014-03-06 |
| 1134460439 | Adam L Powell | Physical Medicine & Rehabilitation | 1675 E Mount Garfield Rd, Muskegon, MI 49444 | 2013-03-12 |
| 1972847135 | Kristen Haugh | Physical Therapist | 5251 Harvey St Ste 100, Norton Shores, MI 49444 | 2012-11-12 |
| 1912261694 | Brandon D Freel | Obstetrics & Gynecology | 6401 Prairie St Ste 2100, Norton Shores, MI 49444 | 2012-06-27 |
| 1437434487 | Amy Stegall | Pharmacist | 1171 E Sherman, Norton Shores, MI 49444 | 2011-10-20 |
| Find all providers in zip 49444 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295346104 | Justin Daniel Donoghue | Nurse Practitioner | 71 Hughey St, Muskegon, MI 49445-2115 | 2020-08-13 |
| 1720626641 | Ellen Grace Tebos | Nurse Practitioner | 550 W Western Ave Apt 307, Muskegon, MI 49440-1086 | 2019-12-11 |
| 1952955098 | Jacqueline Somerville | Nurse Practitioner | 1481 Logan Rd, Muskegon, MI 49445-1575 | 2019-07-26 |
| 1780169367 | Lindsey Kathryn Weesies | Nurse Practitioner | 1675 Leahy St Ste 428b, Muskegon, MI 49442-5500 | 2018-09-28 |
| 1831606029 | Tonnie Thomson | Nurse Practitioner | 2558 Henry St, Muskegon, MI 49441-3024 | 2018-01-09 |
| 1851310361 | Susan K Strickfaden | Nurse Practitioner | 1440 E Sherman Blvd Ste 300, Muskegon, MI 49444-1816 | 2006-07-18 |
| 1588665574 | Valerie A Ahern | Nurse Practitioner | 3535 Park St, Suite 110, Muskegon, MI 49444-3736 | 2005-08-02 |
| 1447251442 | Margaret E Rosina Wolter | Nurse Practitioner | 2700 Baker St Fl 3, Muskegon, MI 49444-2157 | 2005-08-02 |
| 1508492570 | Zachary Mark Whittle | Nurse Practitioner | 2201 S Getty St, Muskegon, MI 49444-1207 | 2020-03-21 |
| 1851924278 | Jodi L Jongekryg | Nurse Practitioner | 1212 E Sherman Blvd, Muskegon, MI 49444-1879 | 2020-02-13 |
| Find all providers in MUSKEGON | ||||
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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.