REBECCA LAUREN VENEKLASE (NPI# 1245882703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245882703 |
Entity Type | Individual |
Full Name | REBECCA LAUREN VENEKLASE |
Credential | NP |
Practice Address |
143 Lane Ave Sw Grand Rapids MI 49504-6172 |
Practice Telephone | 6168262287 |
Mailing Telephone | 6168262287 |
Enumeration Date | 2019-07-15 |
Last Update Date | 2019-07-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F06191860 | MI | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
143 LANE AVE SW |
City | GRAND RAPIDS |
State | MI |
Zip Code | 49504-6172 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477049518 | Mark Contreras | Nurse Practitioner | 72 Sheldon Blvd Se # 130, Grand Rapids, MI 49504 | 2018-07-02 |
1205338753 | Kelli Marie Selby | Physical Therapist | 235 Wealthy, Grand Rapids, MI 49504 | 2018-03-01 |
1871094474 | Kymiri Lyn Coles | Physical Therapist | 1000 Edison Ave Ne, Grand Rapids, MI 49504 | 2018-02-28 |
1881132744 | Courtney Glinka | Behavior Technician | 1149 Butterworth St Sw, Grand Rapids, MI 49504 | 2017-02-10 |
1649650300 | Alyson Renee Vela | Social Worker | 1256 Walker Ave Ne, Grand Rapids, MI 49504 | 2015-06-08 |
1508258500 | Grand Rapids Natural Health | Nutritionist | 638 Fulton Street W., Grand Rapids, MI 49504 | 2015-02-27 |
1144622598 | Robert Mclaren | Physical Therapist | 2807 Lake Michigan Dr Nw Ste 1, Grand Rapids, MI 49504 | 2014-09-17 |
1972854339 | Beth Ellen Gregory | Registered Nurse | 1956 Walker Avenue Northwest, Grand Rapids, MI 49504 | 2012-09-26 |
1588914147 | Unlimited Alternatives | Community/Behavioral Health | 282 Leonard, Grand Rapids, MI 49504 | 2012-09-11 |
1386912178 | Michael Allen Crawford | Pharmacist | 800 West Leonard Nw, Grand Rapids, MI 49504 | 2011-12-07 |
Find all providers in zip 49504 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487253654 | Caleb S Parks | Nurse Practitioner | 1911 Hutchinson Ave Se, Grand Rapids, MI 49506-4614 | 2020-10-20 |
1689271272 | Karen J Goehring | Nurse Practitioner | 625 Kenmoor Ave Se Ste 115, Grand Rapids, MI 49546-2395 | 2020-10-06 |
1043859846 | Erika J Mehney | Nurse Practitioner | 2136 Chesaning Dr Se, Grand Rapids, MI 49506-5311 | 2019-12-27 |
1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
1104460633 | Margaret Masters | Nurse Practitioner | 2749 Brooklyn Ave Se, Grand Rapids, MI 49507-3938 | 2019-10-28 |
1366085474 | Jenna Shoemaker | Nurse Practitioner | 139 Manzana Ct Nw Apt 3b, Grand Rapids, MI 49534-7124 | 2019-10-21 |
1073163846 | Jo-leighanne Marie Pascoe | Nurse Practitioner | 555 Midtowne St Ne Ste 400, Grand Rapids, MI 49503-5731 | 2019-09-13 |
1710531686 | Emily Wilson | Nurse Practitioner | 445 Mulford Dr Se, Grand Rapids, MI 49507-3568 | 2019-07-30 |
1871151613 | Nicole Spratling | Nurse Practitioner | 1000 East Paris Ave Se Ste 230, Grand Rapids, MI 49546-3680 | 2019-06-05 |
1740751775 | Michelle Elizabeth Firlit | Nurse Practitioner | 4047 E Hills Ct Se, Grand Rapids, MI 49546-6249 | 2018-12-17 |
Find all providers in GRAND RAPIDS |
City | GRAND RAPIDS |
Zip Code | 49504 |
Please comment or provide details below to improve the information on REBECCA LAUREN VENEKLASE.
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.