SHANNON GEROW (NPI# 1407489586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407489586 |
| Entity Type | Individual |
| Full Name | SHANNON GEROW |
| Credential | NP |
| Practice Address |
3124 N Wellness Dr Ste 10 Holland MI 49424-8121 |
| Practice Telephone | 6167385870 |
| Mailing Telephone | 6167385870 |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2020-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4704353282 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | LICENSE | 4704353282 | 01 |
| Street Address |
3124 N WELLNESS DR STE 10 |
| City | HOLLAND |
| State | MI |
| Zip Code | 49424-8121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194290999 | Anderson Family and Cosmetic Dentistry | Dentist | 453 136th Ave., Holland, MI 49424 | 2018-10-08 |
| 1487139663 | Maria C. Hoekstra Dds, P.C. | Dentist | 1121 Ottawa Beach Road, Suite 100, Holland, MI 49424 | 2018-10-03 |
| 1871024000 | Derek Schaaf | Rehabilitation Practitioner | 13835 Foxtrail Dr., Holland, MI 49424 | 2017-03-21 |
| 1699227397 | Tabitha Margritz | Optometrist | 2279 N Park Drive #910, Holland, MI 49424 | 2016-10-28 |
| 1619373701 | Miller Chiropractic LLC | Chiropractor | 84 East Lakewood Boulevard, Holland, MI 49424 | 2014-11-17 |
| 1891107611 | Nathan B. Poel | Dentist | 1180 Ottawa Beach Rd, Suite E, Holland, MI 49424 | 2014-05-28 |
| 1477990802 | Jeanine Hamilton | Speech-Language Pathologist | 1576 Eb Creek Dr., Holland, MI 49424 | 2013-05-24 |
| 1194062638 | Stefan John Kuipers | Physician Assistant | 3100 Wellness Dr, Holland, MI 49424 | 2013-01-03 |
| 1902155690 | Benjamin Eovaldi | General Practice | 376 Mayfair St., Holland, MI 49424 | 2012-09-10 |
| 1295017929 | Employee Assistance Center Garden | Psychologist | 372 Garden, Holland, MI 49424 | 2011-09-20 |
| Find all providers in zip 49424 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295359545 | Domenique Tamminga | Nurse Practitioner | 1743 State St, Holland, MI 49424-6228 | 2020-06-02 |
| 1386106151 | Marylou Duron | Nurse Practitioner | 8 E 12th St, Holland, MI 49423-3606 | 2019-04-02 |
| 1952891376 | Kristina Lombardi | Nurse Practitioner | 413 Lincoln Ridge Dr, Holland, MI 49423-2215 | 2018-05-10 |
| 1932433828 | Joni Lynn Dehaan | Nurse Practitioner | 3235 N Wellness Dr Ste 120b, Holland, MI 49424 | 2009-09-24 |
| 1104075761 | Juli Ann Smelser | Nurse Practitioner | 1650 Eber Rd Ste F, Holland, OH 43528-9793 | 2008-09-18 |
| 1922042431 | Christina L Knapke | Nurse Practitioner | 7059 Orchard Centre Dr, Holland, OH 43528-7961 | 2006-06-15 |
| 1295791630 | Family Practice In The Woods PC | Nurse Practitioner | 120 Waukazoo Dr, Holland, MI 49424-2556 | 2006-04-25 |
| 1629619499 | Robert E Hall | Nurse Practitioner | 6711 Airport Hwy, Holland, OH 43528-8104 | 2019-10-03 |
| 1225679491 | Mary M Cherrette | Nurse Practitioner | 577 Michigan Ave Ste 201, Holland, MI 49423-4911 | 2019-09-30 |
| 1407407547 | Erin Rene Vochaska | Nurse Practitioner | 602 Michigan Ave, Holland, MI 49423-4918 | 2019-09-20 |
| Find all providers in HOLLAND | ||||
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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.