JAMIN GENTRY (NPI# 1609317932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609317932 |
| Entity Type | Individual |
| Full Name | JAMIN GENTRY |
| Practice Address |
775 36th St Se Grand Rapids MI 49548-2319 |
| Mailing Address |
775 36th St Grand Rapids MI 49548 |
| Practice Telephone | 6167261917 |
| Mailing Telephone | 6167261917 |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
775 36TH ST SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49548-2319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508017831 | Amy Sue Prinsmorofsky | Case Management | 775 36th St Se, Grand Rapids, MI 49548-2319 | 2008-10-06 |
| 1003423906 | Rachel Anne Burress | Technician | 775 36th St Se, Grand Rapids, MI 49548-2319 | 2020-09-25 |
| 1457965840 | Morgan Maray Glasscoe | Technician | 775 36th St Se, Grand Rapids, MI 49548-2319 | 2020-09-02 |
| 1356952964 | Kathryn Lynn Vanbennekom | Technician | 775 36th St Se, Grand Rapids, MI 49548-2319 | 2020-08-17 |
| 1306455464 | Ashlie Rae Garza | Technician | 775 36th St Se, Grand Rapids, MI 49548-2319 | 2020-07-24 |
| 1700413200 | Eligisel Mota | Technician | 775 36th St Se, Grand Rapids, MI 49548-2319 | 2020-03-25 |
| 1235776667 | Jaclyn Hickmott | Behavior Technician | 775 36th St Se, Grand Rapids, MI 49548-2319 | 2019-12-04 |
| 1336592534 | Stacey Diemer | Case Manager/Care Coordinator | 775 36th St Se, Grand Rapids, MI 49548-2319 | 2016-07-22 |
| 1154773364 | Amy Stover | Rehabilitation Practitioner | 775 36th St Se, Grand Rapids, MI 49548-2319 | 2016-07-12 |
| 1447614912 | Jessica Rienstra | Social Worker | 775 36th St Se, Grand Rapids, MI 49548-2319 | 2016-04-11 |
| 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 | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295227692 | Angel May | Specialist/Technologist, Other | 3905 Brenton Ct Se, Grand Rapids, MI 49508-8948 | 2018-05-31 |
| 1366590499 | Mary Lou Hanks | Specialist/Technologist, Other | 319 Sheldon Blvd Se, Grand Rapids, MI 49503-4515 | 2007-01-08 |
| 1841684339 | Ann Savino | Specialist/Technologist, Other | 1101 Ball Ave Ne, Grand Rapids, MI 49505-5904 | 2015-03-24 |
| 1396137279 | Kimberly Rose | Specialist/Technologist, Other | 1101 Ball Ave Ne, Grand Rapids, MI 49505-5904 | 2015-03-02 |
| 1184016404 | Carla Burgos De La Paz | Specialist/Technologist, Other | 1101 Ball Ave Ne, Grand Rapids, MI 49505-5904 | 2015-02-24 |
| 1841541307 | Spectrum Health Sleep Disorders Center | Specialist/Technologist, Other | 4100 Lake Dr Se, Suite 100, Grand Rapids, MI 49546-8292 | 2012-09-25 |
| 1154679348 | Audrey Jagt | Specialist/Technologist, Other | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2012-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922598515 | Jubin Joseph Cheruvelil | Specialist/Technologist, Other | 446 W. Circle Dr. Room 249 Annex, Justin S. Morrill Hall of Agriculture, East Lansing, MI 48824 | 2018-05-18 |
| 1326599937 | Joel Bergwerff | Specialist/Technologist, Other | 2345 Riley St, Hudsonville, MI 49426-9678 | 2016-10-18 |
| 1093264715 | Brittany Adams | Specialist/Technologist, Other | 39749 Fox Valley Dr, Canton, MI 48188-1532 | 2016-09-22 |
| 1790238277 | Lana Ann Colwell | Specialist/Technologist, Other | 102 Arlene Ct, White Lake, MI 48386-1901 | 2016-08-01 |
| 1427400969 | Diane Hines | Specialist/Technologist, Other | 17530 Strathmoor St, Detroit, MI 48235-2725 | 2016-07-08 |
| 1588016331 | Martez Williams | Specialist/Technologist, Other | 3631 Wayburn St, Detroit, MI 48224-3370 | 2016-07-05 |
| 1366893182 | Morgan Kaylee Gadowski | Specialist/Technologist, Other | 197 Lynn Ct, Imlay City, MI 48444-1240 | 2016-06-22 |
| 1124478318 | Katharine Elisabeth Seal | Specialist/Technologist, Other | 45211 Helm St, Plymouth, MI 48170-6023 | 2016-06-17 |
| 1700236247 | Tanya Patrick | Specialist/Technologist, Other | 2306 Mountain Ave, Flint, MI 48503-2298 | 2016-06-15 |
| 1760846737 | Greg Mcgillvary | Specialist/Technologist, Other | Rose Center 100 Central Michigan University, Mount Pleasant, MI 48859-0001 | 2016-04-06 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49548 |
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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.