LESLIE ANNE VENEMAN (NPI# 1285125039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285125039 |
Entity Type | Individual |
Full Name | LESLIE ANNE VENEMAN |
Practice Address |
6730 Cascade Rd Se Grand Rapids MI 49546-8718 |
Mailing Address |
765 Hampden Ave Apt 136 Saint Paul MN 55114-1664 |
Practice Telephone | 9490960616 |
Mailing Telephone | 6168081175 |
Enumeration Date | 2018-05-27 |
Last Update Date | 2018-05-27 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | 6901011748 | MI | Student, Health Care |
Street Address |
6730 CASCADE RD SE |
City | GRAND RAPIDS |
State | MI |
Zip Code | 49546-8718 |
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 | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194348813 | Holly Beth Myer | Student in an Organized Health Care Education/Training Program | 2615 3 Mile Rd Ne, Grand Rapids, MI 49525-3944 | 2020-05-28 |
1649890559 | Kelsey Anne Knowles | Student in an Organized Health Care Education/Training Program | 2088 Watermark Dr Se, Grand Rapids, MI 49546-9012 | 2020-04-21 |
1174142285 | Jeremy David Mormol | Student in an Organized Health Care Education/Training Program | 100 Michigan St Ne Ste 501, Grand Rapids, MI 49503-2560 | 2020-04-09 |
1417586454 | Ashutosh Agrawal | Student in an Organized Health Care Education/Training Program | 100 Michigan St Ne # Mc46, Grand Rapids, MI 49503-2560 | 2020-04-02 |
1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
1942858048 | Kyle Brandon Avery | Student in an Organized Health Care Education/Training Program | 223 Prospect Ave Ne, Grand Rapids, MI 49503-5649 | 2019-09-01 |
1487209516 | Kathryn Ann Pilczuk | Student in an Organized Health Care Education/Training Program | 333 Bridge St Nw, Grand Rapids, MI 49504-5367 | 2019-08-06 |
1831752443 | Mark Pressler | Student in an Organized Health Care Education/Training Program | 15 Michigan St Ne, Grand Rapids, MI 49503-2509 | 2019-04-18 |
1043774177 | Rebecca Elyse Mitchell | Student in an Organized Health Care Education/Training Program | 932 Fulton St E Apt 1, Grand Rapids, MI 49503-3565 | 2019-01-23 |
1841767712 | Jordon Alexander Wurst-smith | Student in an Organized Health Care Education/Training Program | 44 Indiana Ave Nw, Grand Rapids, MI 49504-6369 | 2018-10-30 |
Find all providers in GRAND RAPIDS |
City | GRAND RAPIDS |
Zip Code | 49546 |
Please comment or provide details below to improve the information on LESLIE ANNE VENEMAN.
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.