LAURA M DEFRAIA (NPI# 1194092957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194092957 |
| Entity Type | Individual |
| Full Name | LAURA M DEFRAIA |
| Credential | CNP |
| Practice Address |
4069 Lake Dr Se Ste 118 Grand Rapids MI 49546-8816 |
| Mailing Address |
100 Michigan St Ne # Mc845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6162678520 |
| Practice Fax Number | 6162677927 |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2020-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
4704307776 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4069 LAKE DR SE STE 118 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-8816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487637492 | Casey Laine Parini | Obstetrics & Gynecology | 4069 Lake Dr Se Ste 118, Grand Rapids, MI 49546-8816 | 2005-11-23 |
| 1528561271 | Amy Bourne Rozelle | Physical Therapist | 4069 Lake Dr Se Ste 118, Grand Rapids, MI 49546-8816 | 2018-03-08 |
| 1205287752 | Luann Vanderlind Arnson | Social Worker | 4069 Lake Dr Se Ste 118, Grand Rapids, MI 49546-8816 | 2016-06-27 |
| 1356757173 | Natasha Love Peoples | Nurse Practitioner | 4069 Lake Dr Se Ste 118, Grand Rapids, MI 49546-8816 | 2014-07-02 |
| 1134552029 | Elizabeth Ellen Payne | Physician Assistant | 4069 Lake Dr Se Ste 118, Grand Rapids, MI 49546-8816 | 2013-08-14 |
| 1033494307 | Elizabeth Michel Harris | Physical Therapist | 4069 Lake Dr Se Ste 118, Grand Rapids, MI 49546-8816 | 2011-10-18 |
| 1295051209 | Natasha D Dehaan | Nurse Practitioner | 4069 Lake Dr Se Ste 118, Grand Rapids, MI 49546-8816 | 2010-04-15 |
| 1538312889 | Julie Ann Ondersma | Nurse Practitioner | 4069 Lake Dr Se Ste 118, Grand Rapids, MI 49546-8816 | 2008-10-30 |
| 1992956643 | Anya F Nyson | Social Worker | 4069 Lake Dr Se Ste 118, Grand Rapids, MI 49546-8816 | 2008-09-30 |
| 1285696591 | Sarah B Arnold | Obstetrics & Gynecology | 4069 Lake Dr Se Ste 118, Grand Rapids, MI 49546-8816 | 2006-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972160745 | Jennifer Deibert Keck | Nurse Practitioner | 7345 Jewelbrooke Dr Se, Grand Rapids, MI 49548-7323 | 2019-05-28 |
| 1184700379 | Valerie Ruth Lucas | Nurse Practitioner | 425 Cherry Se, Grand Rapids, MI 49305 | 2006-10-31 |
| 1457333098 | Kristie Sue Buchholz | Nurse Practitioner | 4829 E Beltline Ave Ne, Grand Rapids, MI 49525-9747 | 2005-11-18 |
| 1295089043 | Judith Willink | Nurse Practitioner | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2012-11-01 |
| 1013294222 | Kelly Ann Conley | Nurse Practitioner | 145 Michigan St Ne, Suite 6300, Grand Rapids, MI 49503-2562 | 2011-11-16 |
| 1639404288 | Emily Susannah Parker | Nurse Practitioner | 145 Michigan St Ne, Suite 3100, Grand Rapids, MI 49503-2562 | 2009-10-14 |
| 1982866000 | Nancy Vermerris | Nurse Practitioner | 3200 Knight Way Se, Grand Rapids, MI 49546-4407 | 2008-06-30 |
| 1831303668 | Jamie Lynn Rodriguez | Nurse Practitioner | 555 Midtowne Street Ne, Suite 400, Grand Rapids, MI 49503-5731 | 2007-05-10 |
| 1194895888 | Paula C Dearholt-winckler | Nurse Practitioner | 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 | 2006-11-09 |
| 1609953967 | Karen Lynn Ganzevoort | Nurse Practitioner | 425 Cherry St Se, Grand Rapids, MI 49503-4601 | 2006-11-01 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
Please comment or provide details below to improve the information on LAURA M DEFRAIA.
| 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.