REBECCA LAUREN VENEKLASE


Address: 143 Lane Ave Sw, Grand Rapids, MI 49504-6172
Phone: 6168262287

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
F06191860 MI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 143 LANE AVE SW
City GRAND RAPIDS
State MI
Zip Code 49504-6172

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NPI Name Taxonomy Address Enumeration
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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
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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
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City GRAND RAPIDS
Zip Code 49504

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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.

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