LUCILLE YURKO VANDERWOUDE (NPI# 1568075364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568075364 |
| Entity Type | Individual |
| Full Name | LUCILLE YURKO VANDERWOUDE |
| Other Name | LUCILLE MARIE YURKO |
| Credential | DNP |
| Practice Address |
231 W Pine Lake Dr Newaygo MI 49337-9264 |
| Practice Telephone | 2316524618 |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
4704318801 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
231 W PINE LAKE DR |
| City | NEWAYGO |
| State | MI |
| Zip Code | 49337-9264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477690428 | Grandview Foot and Ankle PC | Podiatrist | 231 W Pine Lake Dr, Suite Number 102, Newaygo, MI 49337-8028 | 2007-01-31 |
| 1740842657 | Michelle Jayme Kloss | Nurse Practitioner | 231 W Pine Lake Dr, Newaygo, MI 49337-9264 | 2019-07-01 |
| 1427598713 | Community Pace At Home, Inc | PACE Provider Organization | 231 W Pine Lake Dr, Newaygo, MI 49337-9264 | 2017-03-06 |
| 1891100475 | Kay Cole | Social Worker | 231 W Pine Lake Dr, Newaygo, MI 49337-8028 | 2014-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558907824 | Community Hospice, Inc | Hospice Care, Community Based | 181 West River Valley, Newaygo, MI 49337 | 2019-11-21 |
| 1295289973 | Kayla Rose Smith | Social Worker | 232 E 82nd St., Newaygo, MI 49337 | 2016-08-10 |
| 1952674954 | Herminigilda Dadulia Delantar | Physical Therapist | 211 W Pine Lake Drive, Newaygo, MI 49337 | 2012-02-22 |
| 1194982355 | Gale Ann Beach | Social Worker | 12 W Wood, Newaygo, MI 49337 | 2008-05-16 |
| 1275652224 | Jackie Ann Malsom | Social Worker | 12 West Wood, Newaygo, MI 49337 | 2007-03-29 |
| 1841318755 | Joyce Marie Dykstra | Psychologist | 12 W Wood St, Newaygo, MI 49337 | 2007-03-27 |
| 1689726531 | Ronald Paul Leyder | Dentist | 7166 S Croton Hardy Drive, Newaygo, MI 49337 | 2007-01-18 |
| 1356434849 | Melinda Meendering | Physical Therapist | 194 E 82nd St, Newaygo, MI 49337 | 2006-10-02 |
| 1528168929 | Susan Magee Wente | Advanced Practice Midwife | 116 W Northland Drive, Newaygo, MI 49337 | 2006-09-25 |
| 1043263825 | Shopko Stores Operating Co LLC | Pharmacy | 91 Pine Lake Dr, Newaygo, MI 49337 | 2006-05-19 |
| Find all providers in zip 49337 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447859731 | Cindy Clare Craig | Nurse Practitioner | 4142 Cranberry Ln, Williamsburg, MI 49690-8641 | 2020-10-19 |
| 1487269536 | Christiane Ines Atowo | Nurse Practitioner | 25420 5 Mile Rd, Redford, MI 48239-3837 | 2020-09-14 |
| 1760095137 | Gina Louise Bennett | Nurse Practitioner | 4871 Harwood Rd, Ionia, MI 48846-9422 | 2020-08-26 |
| 1356953756 | John Westley Mailey Jr. | Nurse Practitioner | 27645 Albert St, Novi, MI 48374-1012 | 2020-08-18 |
| 1356951305 | Michelle Lynn Andriacchi | Nurse Practitioner | 45690 Kenmore St, Shelby Township, MI 48317-4656 | 2020-08-05 |
| 1124646476 | Chand Sheoran | Nurse Practitioner | 3040 Albany Ct, Troy, MI 48083-2595 | 2020-07-13 |
| 1104449214 | Lynn Marie Alexanders-klima | Nurse Practitioner | 6697 Summerdale Ct E, Ypsilanti, MI 48197-6140 | 2020-05-22 |
| 1326660580 | Kristin A Furwa | Nurse Practitioner | 600 Health Park Blvd Ste H, Grand Blanc, MI 48439-2558 | 2020-05-11 |
| 1700412582 | Ashley Ruth Zimmerman | Nurse Practitioner | 6223 Brant Ln, Ypsilanti, MI 48197-8742 | 2020-03-12 |
| 1992339139 | Afusat Ahmed | Nurse Practitioner | 5231 Madison Ave Apt A5, Okemos, MI 48864-1172 | 2020-02-26 |
| Find all providers with the same taxonomy | ||||
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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.