MARY M DERKSEN (NPI# 1194749812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194749812 |
| Entity Type | Individual |
| Full Name | MARY M DERKSEN |
| Credential | CNS |
| Practice Address |
12265 James St Holland MI 49424-8613 |
| Practice Telephone | 6164945453 |
| Mailing Telephone | 6164945453 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2012-02-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
4704158809 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12265 JAMES ST |
| City | HOLLAND |
| State | MI |
| Zip Code | 49424-8613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619932381 | County of Ottawa | Clinic/Center | 12265 James St, Holland, MI 49424-8613 | 2006-04-18 |
| 1225641004 | Kaeding Skelton | Social Worker | 12265 James St, Holland, MI 49424-8613 | 2020-08-31 |
| 1528684701 | Kerri Ann Vanhorn | Case Manager/Care Coordinator | 12265 James St, Holland, MI 49424-8613 | 2020-06-23 |
| 1942822721 | Lisa Marie Fox | Counselor | 12265 James St, Holland, MI 49424-8613 | 2020-05-14 |
| 1811547714 | Tammy Loggins | Social Worker | 12265 James St, Holland, MI 49424-8613 | 2019-09-13 |
| 1487219226 | Raquel Hall | Social Worker | 12265 James St, Holland, MI 49424-8613 | 2019-05-07 |
| 1962976399 | Ireana Destiney | Counselor | 12265 James St, Holland, MI 49424-8613 | 2019-01-18 |
| 1063985950 | Rebecca Wyngarden | Social Worker | 12265 James St, Holland, MI 49424-8613 | 2019-01-03 |
| 1619449147 | Tracy Bennett | Social Worker | 12265 James St, Holland, MI 49424-8613 | 2018-12-21 |
| 1902392145 | Melody Ermatinger | Registered Nurse | 12265 James St, Holland, MI 49424-8613 | 2018-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194290999 | Anderson Family and Cosmetic Dentistry | Dentist | 453 136th Ave., Holland, MI 49424 | 2018-10-08 |
| 1487139663 | Maria C. Hoekstra Dds, P.C. | Dentist | 1121 Ottawa Beach Road, Suite 100, Holland, MI 49424 | 2018-10-03 |
| 1871024000 | Derek Schaaf | Rehabilitation Practitioner | 13835 Foxtrail Dr., Holland, MI 49424 | 2017-03-21 |
| 1699227397 | Tabitha Margritz | Optometrist | 2279 N Park Drive #910, Holland, MI 49424 | 2016-10-28 |
| 1619373701 | Miller Chiropractic LLC | Chiropractor | 84 East Lakewood Boulevard, Holland, MI 49424 | 2014-11-17 |
| 1891107611 | Nathan B. Poel | Dentist | 1180 Ottawa Beach Rd, Suite E, Holland, MI 49424 | 2014-05-28 |
| 1477990802 | Jeanine Hamilton | Speech-Language Pathologist | 1576 Eb Creek Dr., Holland, MI 49424 | 2013-05-24 |
| 1194062638 | Stefan John Kuipers | Physician Assistant | 3100 Wellness Dr, Holland, MI 49424 | 2013-01-03 |
| 1902155690 | Benjamin Eovaldi | General Practice | 376 Mayfair St., Holland, MI 49424 | 2012-09-10 |
| 1295017929 | Employee Assistance Center Garden | Psychologist | 372 Garden, Holland, MI 49424 | 2011-09-20 |
| Find all providers in zip 49424 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952936494 | Taylor Noelle Lavender | Nurse Practitioner | 854 Washington Ave Ste 330, Holland, MI 49423-7141 | 2020-03-05 |
| 1083086391 | Mary Louise Hasenauer | Nurse Practitioner | 602 Michigan Ave, Holland, MI 49423-4918 | 2015-10-26 |
| 1619020898 | Ruth Elaine Holthuis | Nurse Practitioner | 12265 James St, Holland, MI 49424-8613 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692494 | Memphis Chardell Sandoval | Nurse Practitioner | 131 S. Seaway Dr., Muskegon, MI 49441 | 2020-09-01 |
| 1588282784 | Mary Tackbary | Nurse Practitioner | 3932 W Briar Hill Dr, Maple City, MI 49664-9521 | 2020-07-14 |
| 1962032227 | Westlake Consultation Center | Nurse Practitioner | 4870 W Clark Rd Ste 100, Ypsilanti, MI 48197-1104 | 2020-01-24 |
| 1689211823 | Wanda Edwards | Nurse Practitioner | 29000 Inkster Rd Ste 115, Southfield, MI 48034-1097 | 2019-12-06 |
| 1508416355 | Stephanie Lauren Marl | Nurse Practitioner | 29800 Adams Dr, Gibraltar, MI 48173 | 2019-09-13 |
| 1457905614 | Natalie Poole | Nurse Practitioner | 23077 Greenfield Rd Ste 260, Southfield, MI 48075-3745 | 2019-07-26 |
| 1629535117 | Valerie Baunoch | Nurse Practitioner | 2057 E West Maple Rd, Commerce Twp, MI 48390 | 2019-02-21 |
| 1790293488 | Infinity Hope Center LLC | Nurse Practitioner | 260 Vinewood St Ste 100a8919, Detroit, MI 48216-1667 | 2018-01-16 |
| 1033659644 | Anne Zamler | Nurse Practitioner | 14230 W Mcnichols Rd, Detroit, MI 48235-3912 | 2017-03-01 |
| 1396289120 | Next Level Up Health & Wellness Inc. | Nurse Practitioner | 28423 Parkwood St, Inkster, MI 48141-1669 | 2016-12-13 |
| Find all providers with the same taxonomy | ||||
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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.