PATRICIA MOTTON (NPI# 1215473756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215473756 |
| Entity Type | Individual |
| Full Name | PATRICIA MOTTON |
| Other Name | PATRICIA MOTTON |
| Practice Address |
2627 E Beltline Ave Se Ste 210 Grand Rapids MI 49546-5975 |
| Mailing Address |
5100 Little Paw Paw Lake Rd 142 Coloma MI 49038-9562 |
| Practice Telephone | 6162855100 |
| Mailing Telephone | 2694683626 |
| Enumeration Date | 2017-01-08 |
| Last Update Date | 2018-10-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 4703089252 | MI | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1853 R W Berends Dr Sw, Wyoming, MI 495194955 | 6165349300 |
| Street Address |
2627 E BELTLINE AVE SE STE 210 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-5975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841308137 | Maxim Healthcare Services, Inc. | Home Health | 2627 E Beltline Ave Se, Suite 210, Grand Rapids, MI 49546-5975 | 2006-08-27 |
| 1265973804 | Stephanie Smith | Registered Nurse | 2627 E Beltline Ave Se, Grand Rapids, MI 49546-5975 | 2017-03-15 |
| 1013455948 | Britney Mills | Licensed Practical Nurse | 2627 E Beltline Ave Se, 210, Grand Rapids, MI 49546-5975 | 2017-02-11 |
| 1841735891 | Brian Leslie | Licensed Practical Nurse | 2627 E Beltline Ave Se, Suite 22o, Grand Rapids, MI 49546-5975 | 2016-12-29 |
| 1104360619 | Julie Holtsclaw | Licensed Practical Nurse | 2627 E Beltline Ave Se, Grand Rapids, MI 49546-5975 | 2016-12-19 |
| 1124562178 | Christine Ann Dodge | Registered Nurse | 2627 E Beltline Ave Se, Grand Rapids, MI 49546-5975 | 2016-12-09 |
| 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 | 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 | 49546 |
Please comment or provide details below to improve the information on PATRICIA MOTTON.
| 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.