MCKENNA SHANK (NPI# 1356954705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356954705 |
| Entity Type | Individual |
| Full Name | MCKENNA SHANK |
| Practice Address |
1409 E Beltline Ave Se Grand Rapids MI 49506 |
| Practice Telephone | 6163018000 |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Street Address |
1409 E BELTLINE AVE SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750917969 | Meghan Elizabeth Southwell | Social Worker | Counseling Center of West Michigan, 360 East Beltline Ave Ne Suite 100, Grand Rapids, MI 49506 | 2020-03-19 |
| 1356876536 | Lisa Finkbeiner | Chiropractor | 1324 Lake Dr Se Ste 1, Grand Rapids, MI 49506 | 2017-04-26 |
| 1447622964 | Ashley Robinson | Rehabilitation Practitioner | 1490 East Beltline Ave, Grand Rapids, MI 49506 | 2015-10-23 |
| 1770951584 | Stuart Segal | Behavioral Analyst | 1415 Wealthy St Se Apt 312, Grand Rapids, MI 49506 | 2015-09-10 |
| 1922476373 | Elizabeth Taylor | Nurse Practitioner | 2255 Wealthy Dr., Grand Rapids, MI 49506 | 2015-09-02 |
| 1780066092 | Carole Walters Counseling | Social Worker | 959 Wealthy St. Se, Grand Rapids, MI 49506 | 2015-06-23 |
| 1053792697 | Rosemary F. Trimpe | Social Worker | 4255 Kalamazoo Se, Grand Rapids, MI 49506 | 2015-06-09 |
| 1164809919 | Gary James | Rehabilitation Practitioner | 1490 E. Beltline Se, Grand Rapids, MI 49506 | 2015-04-30 |
| 1275925315 | Paul Cole | Counselor | 1101 Ball Ave. .se., Grand Rapids, MI 49506 | 2015-02-26 |
| 1588055305 | Jennifer A Jensen | Social Worker | 360 East Beltline Ave, Suite 100, Grand Rapids, MI 49506 | 2015-02-16 |
| Find all providers in zip 49506 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811503758 | Lynda Poupard | Technician | 12447 S River Rd, Grand Rapids, OH 43522-9604 | 2020-09-16 |
| 1659983062 | Serena Selwyn | Technician | 2024 Edgewood Ave Se, Grand Rapids, MI 49546-5718 | 2020-08-18 |
| 1235755919 | Michael Scott | Technician | 3608 Camelot Dr Se, Grand Rapids, MI 49546-6072 | 2020-06-18 |
| 1861015075 | Michael Robert Capolino | Technician | 42 Carlton Ave Se, Grand Rapids, MI 49506-1649 | 2020-05-21 |
| 1568082121 | Deenea Forrest | Technician | 3500 Lake Dr Se, Grand Rapids, MI 49546-4310 | 2020-04-23 |
| 1922627983 | Jerica Moet Boss | Technician | 27 Holland Ave Ne, Grand Rapids, MI 49503-3536 | 2020-04-10 |
| 1235766270 | Cherri Apple Jones | Technician | 6281 Skipton Dr Sw, Grand Rapids, MI 49548-6701 | 2020-03-26 |
| 1841836665 | Ahnetra Williams | Technician | 4345 36th St Se, Grand Rapids, MI 49512-2963 | 2019-11-27 |
| 1982251872 | Tanner Jorritsma | Technician | 2037 Cambridge Dr Se, Grand Rapids, MI 49506-5235 | 2019-08-25 |
| 1700442902 | Nhu Linh Hoang | Technician | 1500 E Beltline Ave Se Ste 300, Grand Rapids, MI 49506-4361 | 2019-05-13 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49506 |
Please comment or provide details below to improve the information on MCKENNA SHANK.
| 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.