MR. KEVIN RYAN BEEDON


Address: 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918
Phone: 6163363909

MR. KEVIN RYAN BEEDON (NPI# 1669097945) 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) 1669097945
Entity Type Individual
Full Name MR. KEVIN RYAN BEEDON
Credential PSP
Practice Address 790 Fuller Ave Ne
Grand Rapids
MI 49503-1918
Practice Telephone 6163363909
Practice Fax Number 6163362475
Mailing Telephone 6162043888
Enumeration Date 2020-06-11
Last Update Date 2020-06-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist MI Other Service Providers

Office Location

Street Address 790 FULLER AVE NE
City GRAND RAPIDS
State MI
Zip Code 49503-1918

Providers in the same location

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
1609404805 Kimberly Eisenbarth Recreation Therapist 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 2020-04-01
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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588280044 Eliza Glen Beird Peer Specialist 1115 Ball Ave Ne Bldg A, Grand Rapids, MI 49505-5904 2020-06-22
1376179325 Patricia Kregg Peer Specialist 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 2020-03-20
1063057248 Janelle Nichole Vaness Peer Specialist 1101 Ball Ave Ne, Grand Rapids, MI 49505-5904 2019-11-12
1881151397 Lindsay Arambula Peer Specialist 3300 36th St Se, Grand Rapids, MI 49512-2810 2019-02-21
1407321128 Jami Weller Peer Specialist 3300 36th St Se, Grand Rapids, MI 49512-2810 2018-10-09
1144712118 Carrie Anne Ross Peer Specialist 324 Lyon St Ne, Grand Rapids, MI 49503-5607 2018-06-05
1083106173 Erica L Hernly Peer Specialist 324 Lyon St Ne, Grand Rapids, MI 49503-5607 2018-06-04
1376035477 Amanda Kathryn Ziolkowski Peer Specialist 324 Lyon St Ne, Grand Rapids, MI 49503-5607 2018-06-04
1104336759 Lindsay Lee Belcastro Peer Specialist 1939 S Division Ave., Grand Rapids, MI 49507 2017-10-10
1225577232 Mary Bouwhuis Peer Specialist 1131 Ionia Ave Nw, Grand Rapids, MI 49503-1020 2017-02-23
Find all providers in GRAND RAPIDS

Competitor

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City GRAND RAPIDS
Zip Code 49503

Improve Information

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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.

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