SAMANTHA BURGESS (NPI# 1427616580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427616580 |
| Entity Type | Individual |
| Full Name | SAMANTHA BURGESS |
| Credential | NP |
| Practice Address |
145 Michigan St Ne Ste 3100 Grand Rapids MI 49503-2563 |
| Mailing Address |
5800 Foremost Dr Se Ste 300 Grand Rapids MI 49546-7062 |
| Practice Telephone | 6169549800 |
| Practice Fax Number | 6169542116 |
| Mailing Telephone | 6169549800 |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2020-03-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
4704350687 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477052512 | Samantha Burgess | Counselor | 70 Edgewood Rd, Saranac Lake, NY 12983-1537 | 2018-02-05 |
| 1336505049 | Samantha B Burgess | Nurse Practitioner | 1301 Bertha Howe Ave Ste 1, Mesquite, NV 89027 | 2016-01-11 |
| 1255672879 | Samantha J Burgess | Physical Therapist | 27472 Schoenherr Rd, Suite 130, Warren, MI 48088-6688 | 2013-03-06 |
| Street Address |
145 MICHIGAN ST NE STE 3100 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-2563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639179286 | Thomas E Gribbin | Internal Medicine | 145 Michigan St Ne Ste 3100, Grand Rapids, MI 49503-2563 | 2005-07-26 |
| 1225637325 | Margaret E Tol | Nurse Practitioner | 145 Michigan St Ne Ste 3100, Grand Rapids, MI 49503-2563 | 2020-10-20 |
| 1952908279 | Pauline U Boy | Nurse Practitioner | 145 Michigan St Ne Ste 3100, Grand Rapids, MI 49503-2563 | 2020-10-09 |
| 1285270157 | Heather Ozinga | Nurse Practitioner | 145 Michigan St Ne Ste 3100, Grand Rapids, MI 49503-2563 | 2019-11-26 |
| 1952966111 | Lisa Marie Teunissen | Nurse Practitioner | 145 Michigan St Ne Ste 3100, Grand Rapids, MI 49503-2563 | 2019-05-03 |
| 1649743766 | Kaitlin Derks | Nurse Practitioner | 145 Michigan St Ne Ste 3100, Grand Rapids, MI 49503-2563 | 2019-01-11 |
| 1679042733 | Natalie Mccarty | Nurse Practitioner | 145 Michigan St Ne Ste 3100, Grand Rapids, MI 49503-2563 | 2018-11-19 |
| 1144701228 | Miranda Iacopelli | Nurse Practitioner | 145 Michigan St Ne Ste 3100, Grand Rapids, MI 49503-2563 | 2018-08-27 |
| 1285120287 | Karole Lynn Murphy | Nurse Practitioner | 145 Michigan St Ne Ste 3100, Grand Rapids, MI 49503-2563 | 2018-07-03 |
| 1972010742 | Maria Del Pilar Roldan Bustinza | Physician Assistant | 145 Michigan St Ne Ste 3100, Grand Rapids, MI 49503-2563 | 2018-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306318498 | Ashley Marie Jacobson | Nurse Practitioner | 4100 Lake Dr Se Ste D, Grand Rapids, MI 49546-8292 | 2018-12-30 |
| 1568931673 | Jennifer Lavigne | Nurse Practitioner | 145 Michigan St Ne Ste 3300, Grand Rapids, MI 49503-2562 | 2018-11-19 |
| 1851886220 | Laura Maclam | Nurse Practitioner | 524 Marywood Dr Ne, Grand Rapids, MI 49505-4149 | 2018-06-27 |
| 1609482330 | Amy Manderscheid | Nurse Practitioner | 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 | 2020-09-18 |
| 1417563339 | Samantha Marie Utter | Nurse Practitioner | 25 Michigan St Ne Ste 6100, Grand Rapids, MI 49503-2561 | 2020-09-16 |
| 1295343986 | Elizabeth Ann Evans | Nurse Practitioner | 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 | 2020-07-19 |
| 1669098935 | Andrea Lynn Giffel | Nurse Practitioner | 145 Michigan St Ne Ste 3410, Grand Rapids, MI 49503-2563 | 2020-06-22 |
| 1326672767 | Andrea Patrice Sewell | Nurse Practitioner | 25 Michigan St Ne Ste 6100, Grand Rapids, MI 49503-2561 | 2020-02-25 |
| 1356971261 | Sarah Marie Nava | Nurse Practitioner | 100 Michigan St Ne # Mc019, Grand Rapids, MI 49503-2560 | 2020-01-20 |
| 1790323970 | Joshua Dennis Witherspoon | Nurse Practitioner | 7751 Byron Center Ave Sw, Suite C, Grand Rapids, MI 49351 | 2019-12-18 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
Please comment or provide details below to improve the information on SAMANTHA BURGESS.
| 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.