KALLIE RAE KRAKER


Address: 4118 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605
Phone: 6164867093

KALLIE RAE KRAKER (NPI# 1578065140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578065140
Entity Type Individual
Full Name KALLIE RAE KRAKER
Practice Address 4118 Kalamazoo Ave Se
Grand Rapids
MI 49508-3605
Mailing Address 1809 Edgewood Ave Se
Grand Rapids
MI 49506-5112
Practice Telephone 6164867093
Mailing Telephone 6167237491
Enumeration Date 2018-02-28
Last Update Date 2018-02-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
4704280159 MI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4118 KALAMAZOO AVE SE
City GRAND RAPIDS
State MI
Zip Code 49508-3605

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750365532 Spectrum Health Continuing Care Nursing Facility/Intermediate Care Facility 4118 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 2005-12-05
1083212245 Jennifer Renee Jacobs Nurse Practitioner 4118 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 2020-10-11
1740750546 Amy Elizabeth Sanders Nurse Practitioner 4118 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 2018-12-05
1639672512 Marianne Mullins-macritchie Physical Therapist 4118 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 2018-03-16
1346743465 Jillian Lee Bartsch Occupational Therapist 4118 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 2018-03-15
1609379882 Nermin Soliman Occupational Therapist 4118 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 2018-03-14
1396248597 Lori Lee Bultinck Occupational Therapist 4118 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 2018-03-14
1255834479 Kari Ondersma Occupational Therapist 4118 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 2018-03-14
1538662150 Kristin Lousise Vanderark Physical Therapist 4118 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 2018-03-09
1124520887 Katie Marie Yates Physical Therapist 4118 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 2018-03-08
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063012367 Jenna Brianne Labrecque Social Worker 2013 East Castle Dr, Suite B, Kentwood, MI 49508 2020-10-27
1881208809 Morgan Paige Ballmann Physical Therapy Assistant 4150 Kalamazoo Ave. Se, Grand Rapids, MI 49508 2020-09-08
1699385740 Jodie Lynn Robertson Prosthetist 3720 Eastern Se, Grand Rapids, MI 49508 2020-08-04
1003460874 Derm Institute of West Michigan Plc Dermatology 6750 Kalamazoo Ave, Suites C & D, Grand Rapids, MI 49508 2019-07-30
1255801833 Ikeia Tynika Hill Licensed Practical Nurse 1627 Lotus, Grand Rapids, MI 49508 2018-11-27
1326556838 Araceli Contreras-hernandez Behavior Technician 3566 Eastern Ave. Se, Kentwood, MI 49508 2018-01-18
1881102788 A Grand Rapids Senior Social Exchange and Adult Day Center In Home Supportive Care 3212 Eastern Ave Se, Grand Rapids, MI 49508 2018-01-14
1952827107 Nupoint Services LLC Clinic/Center 1620 44th Street Se, Grand Rapids, MI 49508 2017-08-19
1710427695 Embracing Life Afc Custodial Care Facility 1405 Forrester St S.e., Grand Rapids, MI 49508 2017-02-27
1083162838 Katherine Berenice Campoverde Arevalo Technician, Other 1157 Billigs Ct Se, Ap# 1a, Grand Rapids, MI 49508 2016-09-21
Find all providers in zip 49508

Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154893956 Jacquelyn Dunn Nurse Practitioner 630 Kenmoor Ave Se Ste 102, Grand Rapids, MI 49546-8626 2018-12-19
1558900183 Kathryn Long Nurse Practitioner 1055 Medical Park Dr Se, Grand Rapids, MI 49546-3607 2019-12-30
1134690761 Koren Gebben Nurse Practitioner 1959 East Paris Ave Se, Grand Rapids, MI 49546-6272 2018-12-07
1841775483 Stacy Lu Allen Nurse Practitioner 35 Michigan St Ne Ste 4150, Grand Rapids, MI 49503-2529 2018-09-29
1538654835 Anna Marie Rykse Nurse Practitioner 25 Michigan St Ne Ste 4200, Grand Rapids, MI 49503 2018-06-28
1083122790 Christopher Michael Bouma Nurse Practitioner 300 68th St Se, Grand Rapids, MI 49548-6927 2018-01-16
1144732850 Michelle Kristine Buist Nurse Practitioner 35 Michigan St Ne, Grand Rapids, MI 49503-2514 2017-11-03
1952810830 Kaitlin Jane Hendriksma Nurse Practitioner 550 Cherry St Se, Grand Rapids, MI 49503-4748 2017-09-24
1962954354 Samantha Lynne Wylie Nurse Practitioner 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503-2528 2016-11-01
1881061497 Carole Lenzo Nurse Practitioner 100 Cherry St Se, Grand Rapids, MI 49503-4526 2015-08-31
Find all providers in GRAND RAPIDS

Competitor

Search similar providers

City GRAND RAPIDS
Zip Code 49508

Improve Information

Please comment or provide details below to improve the information on KALLIE RAE KRAKER.

Dataset Information

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.

Trending Searches