STEPHANIE ABBOTT (NPI# 1386072825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386072825 |
| Entity Type | Individual |
| Full Name | STEPHANIE ABBOTT |
| Credential | PA-C |
| Practice Address |
721 3 Mile Rd Nw Suite 200 Grand Rapids MI 49544-8229 |
| Practice Telephone | 6166473770 |
| Practice Fax Number | 6166473776 |
| Mailing Telephone | 6166473770 |
| Mailing Fax Number | 6166473776 |
| Enumeration Date | 2013-10-18 |
| Last Update Date | 2013-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601006779 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD | 5601006779 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326685371 | Stephanie Lea Abbott | Licensed Vocational Nurse | 11121 Mac Murray St, Garden Grove, CA 92841-1016 | 2019-12-09 |
| 1487815817 | Stephanie Evelyn Abbott | Massage Therapist | 931 S Ridgewood Ave, Ste B-6, Edgewater, FL 32132-2301 | 2008-06-18 |
| 1578048625 | Stephanie Anne Abbott | Counselor | 2624 9th Ave S, Fargo, ND 58103-2350 | 2018-09-25 |
| 1912485434 | Stephanie Abbott | Behavior Technician | 17911 Sky Park Cir Ste E, Irvine, CA 92614-4303 | 2018-08-06 |
| 1679992903 | Stephanie Abbott | Pharmacist | 12728 19th Ave Se Ste 200, Everett, WA 98208-6526 | 2014-04-15 |
| Street Address |
721 3 MILE RD NW SUITE 200 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49544-8229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053349993 | Jeffrey Joseph Vanwingen | Family Medicine | 721 3 Mile Rd Nw, Suite 200, Grand Rapids, MI 49544-8229 | 2006-06-29 |
| 1386949436 | Luke A Caldwell | Nurse Practitioner | 721 3 Mile Rd Nw, Suite 200, Grand Rapids, MI 49544-8229 | 2011-01-21 |
| 1205155819 | Nathaniel J Voshel Dpm | Podiatrist | 721 3 Mile Rd Nw, Suite 100, Grand Rapids, MI 49544-8229 | 2010-05-21 |
| 1538339676 | Grand Meridian Foot and Ankle Specialists | Podiatrist | 721 3 Mile Rd Nw, Suite 100, Grand Rapids, MI 49544-8229 | 2008-03-05 |
| 1427264373 | Nathaniel James Voshel | Podiatrist | 721 3 Mile Rd Nw, Suite 100, Grand Rapids, MI 49544-8229 | 2007-05-15 |
| 1124056643 | Terrence Patrick Wright | Family Medicine | 721 3 Mile Rd Nw, Suite 200, Grand Rapids, MI 49544-8229 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764511 | Titiana Shanee Richardson | Social Worker | 113 Lake Michigan Drive Northwest, Grand Rapids, MI 49544 | 2020-09-15 |
| 1699317792 | Leah Grace Nesburg | Speech-Language Pathologist | 600 3 Mile Road Nw, Suite 102, Walker, MI 49544 | 2019-10-10 |
| 1316467954 | Hendrik Vanholsbeeck | Dentist | 2515 Alpine Ave Nw # A, Grand Rapids, MI 49544 | 2017-06-25 |
| 1467988584 | Leah Feenstra | Behavior Technician | 668 3 Mile Nw, Grand Rapids, MI 49544 | 2017-05-10 |
| 1760920698 | Heidi Catherine Stultz-griffey | Pharmacist | 970 4 Mile Rd Nw Apt 1d, Grand Rapids, MI 49544 | 2017-02-12 |
| 1336591791 | Nicole Totten | Dentist | 3320 Alpine Ave., Grand Rapids, MI 49544 | 2016-07-11 |
| 1255789145 | Lucas David Kelley | Technician, Other | 668 3 Mile Ave Nw, Suite 2, Grand Rapids, MI 49544 | 2016-06-01 |
| 1144611666 | Stephen Kornoely | Social Worker | 2118 3 Mile Road Nw, Grand Rapids, MI 49544 | 2015-02-06 |
| 1023368305 | Brian William Rogers | Registered Nurse | 712 North Center Dr. Nw, Grand Rapids, MI 49544 | 2012-09-14 |
| 1477885325 | Wilson and Wynn Interventions | Community/Behavioral Health | 680 Three Mile Nw, Suite 150, Grand Rapids, MI 49544 | 2010-02-03 |
| Find all providers in zip 49544 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473198 | Rachel M. Graziano | Physician Assistant | 18 Lowell Ave Ne, Grand Rapids, MI 49503-3760 | 2020-10-07 |
| 1811537269 | Joseph Salvatore Giovannucci | Physician Assistant | 145 Michigan St Ne Ste 2230, Grand Rapids, MI 49503-2562 | 2020-01-14 |
| 1326685686 | Mitchell Lebel | Physician Assistant | 932 Fulton St E Unit 1, Grand Rapids, MI 49503-3565 | 2019-12-05 |
| 1326680331 | Emily Wallace | Physician Assistant | 1661 Philadelphia Ave Se, Grand Rapids, MI 49507-2251 | 2019-10-10 |
| 1124688197 | Leeann Marie Kuehn | Physician Assistant | 218 Warren Ave Se, Grand Rapids, MI 49506-1582 | 2019-06-20 |
| 1770057549 | Shelby Elizabeth Hunt | Physician Assistant | 100 Michigan St Ne # Mc9017, Grand Rapids, MI 49503-2560 | 2019-01-15 |
| 1063906865 | Kimberly Eccher | Physician Assistant | 300 68th St. Se, Grand Rapids, MI 49548 | 2018-06-15 |
| 1174029094 | Katrina Ann Brummel | Physician Assistant | 555 Midtowne St Ne Ste 110, Grand Rapids, MI 49503-5731 | 2018-03-30 |
| 1902312994 | Aaron Michaud | Physician Assistant | 301 Barclay Ave Ne, Grand Rapids, MI 49503 | 2017-12-28 |
| 1538687215 | Sonia Nicola | Physician Assistant | 4100 Embassy Dr Se Ste 400, Grand Rapids, MI 49546-2416 | 2017-09-01 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49544 |
Please comment or provide details below to improve the information on STEPHANIE ABBOTT.
| 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.