KIMBERLY EISENBARTH (NPI# 1609404805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609404805 |
| Entity Type | Individual |
| Full Name | KIMBERLY EISENBARTH |
| Credential | CTRS |
| Practice Address |
790 Fuller Ave Ne Grand Rapids MI 49503-1918 |
| Practice Telephone | 6168555226 |
| Mailing Telephone | 6168555226 |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2020-04-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | 68065 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
790 FULLER AVE NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-1918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821083924 | Mazhar Munir | Psychiatry & Neurology | 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2005-09-14 |
| 1285233601 | Jenna Lee Liszewski | Social Worker | 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2020-10-19 |
| 1841898988 | Amy Kruithoff | Social Worker | 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2020-10-12 |
| 1043837529 | Jessica Garland | Social Worker | 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2020-06-30 |
| 1720604135 | Mareena Lynn Terry | Registered Nurse | 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2020-06-22 |
| 1669097945 | Kevin Ryan Beedon | Peer Specialist | 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2020-06-11 |
| 1376179325 | Patricia Kregg | Peer Specialist | 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2020-03-20 |
| 1922630375 | Erica Suzanne Wilson | Counselor | 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2020-02-04 |
| 1245861574 | Melissa J. Anthony | Counselor | 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2020-01-27 |
| 1801426150 | Andrea Jo Vanderjagt | Registered Nurse | 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2020-01-24 |
| 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 | 225800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreation Therapist |
| A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891350153 | Brenna Joe Gallagher | Recreation Therapist | 414 Benson Ave Ne Apt 1444, Grand Rapids, MI 49503-0023 | 2019-05-02 |
| 1912240482 | Janna Kortman | Recreation Therapist | 4934 Luxemburg St Se, Grand Rapids, MI 49546-8406 | 2013-04-02 |
| 1780933903 | Kristen Leigh Bouwma | Recreation Therapist | 1942 East Beltline Se, Grand Rapids, MI 49506 | 2012-09-04 |
| 1356583801 | Sara Elizabeth Rinke | Recreation Therapist | 1490 East Beltline Se, Grand Rapids, MI 49506 | 2009-03-30 |
| 1558992438 | Kirsten Anne Vandermeer | Recreation Therapist | 3310 Eagle Park Dr Ne Ste 100, Grand Rapids, MI 49525-4574 | 2020-01-30 |
| 1194355834 | Rachael Nicole Nietling | Recreation Therapist | 3310 Eagle Park Dr Ne Ste 100, Grand Rapids, MI 49525-4574 | 2020-01-22 |
| 1255961066 | Brittany Oom | Recreation Therapist | 475 Lake Michigan Dr Nw, Grand Rapids, MI 49504-5600 | 2020-01-21 |
| 1962046441 | Lauren Anita Macke | Recreation Therapist | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2019-10-29 |
| 1538701099 | Sarah Ann Spicer | Recreation Therapist | 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2019-10-16 |
| 1679115612 | Rebecca Jenae Rush | Recreation Therapist | 1939 S Division Ave., Grand Rapids, MI 49507 | 2019-10-10 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
Please comment or provide details below to improve the information on KIMBERLY EISENBARTH.
| 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.