JENNIFER L NAUTA (NPI# 1366992612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366992612 |
| Entity Type | Individual |
| Full Name | JENNIFER L NAUTA |
| Credential | RN, CCM, ONC |
| Practice Address |
1111 Leffingwell Ave Ne Grand Rapids MI 49525-6406 |
| Practice Telephone | 6164597101 |
| Practice Fax Number | 6164646170 |
| Mailing Telephone | 6164597101 |
| Mailing Fax Number | 6164646170 |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
4704210377 | MI | Nursing Service Providers |
| Street Address |
1111 LEFFINGWELL AVE NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49525-6406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437151834 | William G Brinkmeier | Physician Assistant | 1111 Leffingwell Ave Ne, Ste 100, Grand Rapids, MI 49525-6406 | 2005-08-15 |
| 1316571334 | Beth A Ronda | Occupational Therapist | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2020-02-28 |
| 1811535172 | Kaylyn Fales | Specialist/Technologist | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2019-12-18 |
| 1275170540 | Marissa Marguerite Hansen | Physical Therapist | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2019-12-05 |
| 1285120568 | Danielle M Beaudoin | Physical Therapist | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2018-07-10 |
| 1235630203 | Michael D Newlin | Physical Therapist | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2018-02-26 |
| 1649787128 | Corey John Koll | Physician Assistant | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2018-01-05 |
| 1144735093 | Bradley M Griffin | Occupational Therapist | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2017-12-13 |
| 1811412315 | Logan M Neil | Physical Therapist | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2017-08-07 |
| 1053848929 | Hilary May Fredricks | Physical Therapist | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2017-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1174154645 | Amy Vanderslik | Case Manager/Care Coordinator | 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 | 2020-02-03 |
| 1477195246 | Epic Discoveries LLC | Counselor | 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 | 2019-10-14 |
| 1598228959 | Kim Scherencel Lmsw Counseling | Social Worker | 3280 Beltline Ne, Grand Rapids, MI 49525 | 2019-04-11 |
| 1821558958 | Mindful Trajectories | Social Worker | 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 | 2019-03-24 |
| 1104380518 | Julianne Lettinga, Ma Lpc Counseling | Counselor | 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 | 2019-01-30 |
| 1396227229 | Christopher Scot Doucette | Social Worker | 2064 Airway St Ne, Grand Rapids, MI 49525 | 2018-09-06 |
| 1568976017 | Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry | Dentist | 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 | 2017-11-20 |
| 1407389604 | Kelly Jo Crabb | Social Worker | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 | 2017-04-05 |
| Find all providers in zip 49525 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568906832 | Terri M Adams | Registered Nurse | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2016-12-06 |
| 1649602061 | Lori Lynn Bast | Registered Nurse | 1450 Leonard St Ne, Grand Rapids, MI 49505-5515 | 2013-08-08 |
| 1396092367 | Jill M Huizinga | Registered Nurse | 1471 Grace St Se, Grand Rapids, MI 49506-1678 | 2012-08-09 |
| 1407103732 | Joellen Shangraw | Registered Nurse | 1471 Grace St Se, Grand Rapids, MI 49506-1678 | 2012-08-06 |
| 1649526880 | Thomas M Muszynski Sr. | Registered Nurse | 1471 Grace St Se, Grand Rapids, MI 49506-1678 | 2012-07-25 |
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|---|---|---|---|---|
| 1427669969 | K & M Medical & Catastrophic Management, LLC | Registered Nurse | 3005 E 11 Mile Rd, Warren, MI 48092-3523 | 2020-08-10 |
| 1194347211 | Martin James Leonard | Registered Nurse | 3067 Beach Lake Dr E, Milford, MI 48380-2864 | 2020-05-12 |
| 1104460971 | Lovingprivatecare71 LLC | Registered Nurse | 24020 Sunnypoint Dr, Southfield, MI 48033-2907 | 2019-11-04 |
| 1497217822 | James Henry Wood | Registered Nurse | 50 W Big Beaver Rd Ste 90, Bloomfield Hills, MI 48304-3910 | 2019-04-04 |
| 1295207991 | Jacqueline Hodges | Registered Nurse | 15404 Ilene St, Detroit, MI 48238-1042 | 2018-12-19 |
| 1396211702 | Julius Militante | Registered Nurse | 3101 Vineyard Ln, Flushing, MI 48433-2435 | 2018-10-23 |
| 1992293567 | Kathleen Drew | Registered Nurse | 24801 5 Mile Rd Ste 7, Redford, MI 48239-3653 | 2018-04-28 |
| 1033622667 | Julie Ann Bise | Registered Nurse | 10555 Enterprise Dr Ste 314, Davisburg, MI 48350-1338 | 2017-11-06 |
| 1376054262 | Carrie Allan | Registered Nurse | 39067 Salem Dr, Clinton Township, MI 48038-2857 | 2017-10-18 |
| 1942733050 | Jennifer Bartkowiak-wise | Registered Nurse | 4320 N 11 Mile Rd, Pinconning, MI 48650-7976 | 2017-04-05 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49525 |
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| 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.