CLAYTON REED HERMANN (NPI# 1376073379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376073379 |
| Entity Type | Individual |
| Full Name | CLAYTON REED HERMANN |
| Credential | BA |
| Practice Address |
3492 Lake Dr Se Grand Rapids MI 49546-4338 |
| Practice Telephone | (616) 940-0040 |
| Mailing Telephone | 6169400040 |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2017-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
MI | Nursing Service Related Providers |
| Street Address |
3492 LAKE DR SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-4338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023251857 | Nedila K Major-babcock | Licensed Practical Nurse | 3492 Lake Dr Se, Grand Rapids, MI 49546-4338 | 2009-04-09 |
| 1144833492 | Alondra Soto | Technician | 3492 Lake Dr Se, Grand Rapids, MI 49546-4338 | 2020-08-26 |
| 1497367353 | Alexandria Horton | Technician | 3492 Lake Dr Se, Grand Rapids, MI 49546-4338 | 2020-08-20 |
| 1861020745 | Phylicia Marcell Walker | Technician | 3492 Lake Dr Se, Grand Rapids, MI 49546-4338 | 2020-03-27 |
| 1114553856 | Dante N/a Bermejo Ronquillo | Technician | 3492 Lake Dr Se, Grand Rapids, MI 49546-4338 | 2020-03-13 |
| 1487280293 | Chenice Peterson | Technician | 3492 Lake Dr Se, Grand Rapids, MI 49546-4338 | 2020-03-13 |
| 1326671108 | Erin Macdonald | Technician | 3492 Lake Dr Se, Grand Rapids, MI 49546-4338 | 2020-02-19 |
| 1063059954 | Michelle Lynn Holstege | Technician | 3492 Lake Dr Se, Grand Rapids, MI 49546-4338 | 2019-12-10 |
| 1932768488 | Pearline Haley | Technician | 3492 Lake Dr Se, Grand Rapids, MI 49546-4338 | 2019-06-09 |
| 1992265276 | Cynthia Yuritzi Lamas-navarro | Occupational Therapy Assistant | 3492 Lake Dr Se, Grand Rapids, MI 49546-4338 | 2019-03-22 |
| Find all providers in the same location | ||||
| 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 | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821631391 | Patrice Marie Curtiss | Technician | 23792 Winckler Road, Grand Rapids, MN 55744 | 2019-10-28 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1154941466 | Nikki R Pantelin | Technician | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2020-04-16 |
| 1912557943 | Aleisha Joy Kole | Technician | 4220 Burton St Se, Grand Rapids, MI 49546-6121 | 2019-09-11 |
| 1184193617 | Annelise Elizabeth Medina | Technician | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2018-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639786478 | Terrence Newton | Technician | 1435 Peachwood Dr, Flint, MI 48507-5633 | 2020-09-25 |
| 1487271649 | Ashley Meade-caplinger | Technician | 2328 7th St, Wyandotte, MI 48192-4316 | 2020-07-02 |
| 1598395295 | Dale Andrea Smith | Technician | 216 Railway St, Crystal Fall, MI 49920 | 2020-01-22 |
| 1760028559 | Arlene Lewis | Technician | 1350 E M 21 Ste 34, Owosso, MI 48867-8000 | 2019-11-27 |
| 1144864471 | Jessica Gomez | Technician | 1621 Benjamin St, Saginaw, MI 48602-5311 | 2019-10-30 |
| 1942843800 | Lynnette Marie Geib | Technician | N1872 Hwy M-35, Menominee, MI 49858 | 2019-10-23 |
| 1093358004 | Monika Hildegard Winters | Technician | 4150 Lake Pleasant Rd S, Osseo, MI 49266-9623 | 2019-10-22 |
| 1184267528 | Willie M Rhymes Jr. | Technician | 16020 W Chicago St, Detroit, MI 48228-2144 | 2019-10-17 |
| 1871134189 | Patricia Littleton | Technician | 4610 Akron Rd, Akron, MI 48701 | 2019-10-08 |
| 1457902140 | Linda Pabis | Technician | 5406 Canada Rd, Birch Run, MI 48415 | 2019-09-24 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
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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.