TAMI PETTENGER


Address: 1005 W Green St, Ste 300, Hastings, MI 49058-1712
Phone: 2699488411

TAMI PETTENGER (NPI# 1235676651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235676651
Entity Type Individual
Full Name TAMI PETTENGER
Credential DNP
Practice Address 1005 W Green St
Ste 300
Hastings
MI 49058-1712
Mailing Address 100 Michigan St Ne
# Mc-845
Grand Rapids
MI 49503-2560
Practice Telephone 2699488411
Practice Fax Number 2699489874
Mailing Telephone 2699488411
Enumeration Date 2017-01-24
Last Update Date 2017-03-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 4704237433 MI Nursing Service Providers
Y 363L00000X Nurse Practitioner 4704237433 MI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1005 W GREEN ST
STE 300
City HASTINGS
State MI
Zip Code 49058-1712

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144224700 Steven George Wildern Specialist 1005 W Green St, Rm 301, Hastings, MI 49058-1729 2005-06-10
1841644184 Pennock Hospital Clinic/Center 1005 W Green St, Suite 301, Hastings, MI 49058-1712 2016-04-22
1124488812 Pennock Hospital Board of Trustees Surgery 1005 W Green St, Hastings, MI 49058-1712 2016-02-24
1821497223 Diane Hart Registered Nurse 1005 W Green St, Hastings, MI 49058-1712 2014-08-21
1215351317 Roxanne R Gaiski Advanced Practice Midwife 1005 W Green St, Ste 301, Hastings, MI 49058-1712 2014-02-10
1437594991 West Michigan Heart Internal Medicine 1005 W Green St, Hastings, MI 49058-1712 2013-05-09
1649566076 Jimmie Daniel Woodall Obstetrics & Gynecology 1005 W Green St, Ste 301, Hastings, MI 49058-1712 2011-06-23
1215221353 Pennock Hospital Internal Medicine 1005 W Green St, Hastings, MI 49058-1712 2011-06-07
1265732366 Spectrum Health Primary Care Partners Internal Medicine 1005 W Green St, Hastings, MI 49058-1712 2010-10-24
1023340981 Pennock Hospital Internal Medicine 1005 W Green St, Hastings, MI 49058-1712 2010-02-03
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760941942 Valerie Joy Gardiner Licensed Practical Nurse 1359 Avon St, Hastings, MI 49058 2019-03-18
1538528633 Forefront Dermatology, S.c. Dermatology 1761 W M 43 Hwy Ste 2, Hastings, MI 49058 2016-02-17
1376936807 Angels On The Go Home Health 959 1/2 Williams Dr., Hastings, MI 49058 2015-03-09
1134524226 Forefront Dermatology, S.c. Dermatology 1005 W. Green Street, Suite 200, Hastings, MI 49058 2014-10-31
1417385493 James Edgar Atkinson Family Medicine 2425 Kathryn Drive, Hastings, MI 49058 2013-10-29
1689006918 Bosley Pharmacy No. 2 Inc Pharmacy 118 S. Jefferson St., Hastings, MI 49058 2013-08-09
1740539345 Kristen Burpee Physical Therapist 535 W. Woodlawn, Hastings, MI 49058 2012-08-29
1932344819 Timothy York Adams Counselor 1100 Willitts Rd, Hastings, MI 49058 2008-12-08
1689820169 Jennifer L Nobert Physician Assistant 1005 W Green St Ste 202, Hastings Internal Medicine, Hastings, MI 49058 2008-08-15
1457578072 Sue Ellen Eastman Social Worker 350 Meadow Run Drive, #3, Hastings, MI 49058 2007-04-18
Find all providers in zip 49058

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992253058 Hajnalka Draper Nurse Practitioner 1411 Vermillion St, Hastings, MN 55033-2844 2016-09-19
1427047299 Julia M Pavelka Nurse Practitioner 2727 W 2nd St, Suite 340, Hastings, NE 68901-4684 2005-10-14
1598766677 Kristen M Gilleo Nurse Practitioner 1880 N Frontage Rd, Hastings, MN 55033-2687 2005-08-10
1508321456 Lyndi Jo Henry Nurse Practitioner 1009 W Green St, Hastings, MI 49058-1710 2019-02-05
1639648355 Shana Schneider Nurse Practitioner 1009 W Green St, Hastings, MI 49058-1710 2018-11-26
1578066163 Antwain Allen Nurse Practitioner 1009 W Green St, Hastings, MI 49058-1710 2018-03-09
1215440516 Stephanie May Nurse Practitioner 1009 W Green St, Hastings, MI 49058-1710 2017-11-08
1780104182 Renee Birchmeier Nurse Practitioner 1108 W State St, Hastings, MI 49058-9711 2017-06-27
1023557634 Alia Anthony Nurse Practitioner 1108 W State St, Suite 3, Hastings, MI 49058-9711 2017-02-15
1629450051 Danielle Malchow Nurse Practitioner 223 E 14th St, Suite 100, Hastings, NE 68901-3200 2015-06-22
Find all providers in HASTINGS

Competitor

Search similar providers

City HASTINGS
Zip Code 49058

Improve Information

Please comment or provide details below to improve the information on TAMI PETTENGER.

Dataset Information

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.

Trending Searches