MARLEE JAYNE BOGEMA (NPI# 1396398236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396398236 |
| Entity Type | Individual |
| Full Name | MARLEE JAYNE BOGEMA |
| Other Name | MARLEE JAYNE MUILENBURG |
| Credential | FNP |
| Practice Address |
80 68th St Se Grand Rapids MI 49548-6980 |
| Mailing Address |
100 Michigan St Ne # Mc845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6163918242 |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2020-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704296160 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
80 68TH ST SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49548-6980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275529562 | Spectrum Health Hospitals | Clinic/Center | 80 68th St Se, Grand Rapids, MI 49548-6980 | 2005-09-22 |
| 1033746565 | Samantha Nicole Lubbers | Physician Assistant | 80 68th St Se, Grand Rapids, MI 49548-6980 | 2020-03-25 |
| 1912531054 | Christof Charles Muller | Physician Assistant | 80 68th St Se, Grand Rapids, MI 49548-6980 | 2020-02-27 |
| 1477185718 | Austin James Redick | Physician Assistant | 80 68th St Se, Grand Rapids, MI 49548-6980 | 2020-02-05 |
| 1770114266 | George Michael Mcconnell | Physician Assistant | 80 68th St Se, Grand Rapids, MI 49548-6980 | 2020-02-03 |
| 1245861251 | Holly Elizabeth Mullen | Nurse Practitioner | 80 68th St Se, Grand Rapids, MI 49548-6980 | 2020-01-29 |
| 1417596008 | Jennifer Nicole Lehman | Physician Assistant | 80 68th St Se, Grand Rapids, MI 49548-6980 | 2019-12-30 |
| 1538705660 | Mavjuda Saydazamova | Nurse Practitioner | 80 68th St Se, Grand Rapids, MI 49548-6980 | 2019-11-25 |
| 1013472695 | Micah Nahum Foster | Physician Assistant | 80 68th St Se, Grand Rapids, MI 49548-6980 | 2019-02-07 |
| 1912470493 | Callie Marie Radford | Physician Assistant | 80 68th St Se, Grand Rapids, MI 49548-6980 | 2019-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205319811 | Pooja Patel | Social Worker | Spectrum Community Services, 3353 Lousma Dr. Se, Wyoming, MI 49548 | 2018-09-10 |
| 1063906865 | Kimberly Eccher | Physician Assistant | 300 68th St. Se, Grand Rapids, MI 49548 | 2018-06-15 |
| 1871099481 | Baymark of Michigan, Inc. | Clinic/Center | 5500 Division Avenue Se, Kentwood, MI 49548 | 2018-04-03 |
| 1629507801 | Laura Marie Quennoz | Psychiatry & Neurology | Pine Rest Christian Mental Health Services, 300 68th Street Se, Grand Rapids, MI 49548 | 2017-06-09 |
| 1821548504 | Alison Anderson | Technician, Other | 103 Roth St Se, Grand Rapids, MI 49548 | 2016-10-06 |
| 1831540152 | Jesse Aubil | Counselor | 264 Montebello St. Se 49548, Grand Rapids, MI 49548 | 2016-06-28 |
| 1306237920 | Sarah Benton | Social Worker | 225 Colrain St Sw, 2, Grand Rapids, MI 49548 | 2015-02-18 |
| 1578996856 | Karen Marie Irving | Social Worker | 3353 Lousma Dr. Se, Wyoming, MI 49548 | 2013-08-09 |
| 1740348044 | Robert Kenneth Richmond | Preventive Medicine | 551 36th Street. Se, Wyoming, MI 49548 | 2006-12-05 |
| 1386738953 | Sharita Montiez Hall | Social Worker | 300 68th Street Se, Grand Rapids, MI 49548 | 2006-10-03 |
| Find all providers in zip 49548 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253654 | Caleb S Parks | Nurse Practitioner | 1911 Hutchinson Ave Se, Grand Rapids, MI 49506-4614 | 2020-10-20 |
| 1689271272 | Karen J Goehring | Nurse Practitioner | 625 Kenmoor Ave Se Ste 115, Grand Rapids, MI 49546-2395 | 2020-10-06 |
| 1043859846 | Erika J Mehney | Nurse Practitioner | 2136 Chesaning Dr Se, Grand Rapids, MI 49506-5311 | 2019-12-27 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1104460633 | Margaret Masters | Nurse Practitioner | 2749 Brooklyn Ave Se, Grand Rapids, MI 49507-3938 | 2019-10-28 |
| 1366085474 | Jenna Shoemaker | Nurse Practitioner | 139 Manzana Ct Nw Apt 3b, Grand Rapids, MI 49534-7124 | 2019-10-21 |
| 1073163846 | Jo-leighanne Marie Pascoe | Nurse Practitioner | 555 Midtowne St Ne Ste 400, Grand Rapids, MI 49503-5731 | 2019-09-13 |
| 1710531686 | Emily Wilson | Nurse Practitioner | 445 Mulford Dr Se, Grand Rapids, MI 49507-3568 | 2019-07-30 |
| 1245882703 | Rebecca Lauren Veneklase | Nurse Practitioner | 143 Lane Ave Sw, Grand Rapids, MI 49504-6172 | 2019-07-15 |
| 1871151613 | Nicole Spratling | Nurse Practitioner | 1000 East Paris Ave Se Ste 230, Grand Rapids, MI 49546-3680 | 2019-06-05 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49548 |
Please comment or provide details below to improve the information on MARLEE JAYNE BOGEMA.
| 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.