JENNIFER DYKSTRA


Address: 117 W Paterson St, Kalamazoo, MI 49007-2557
Phone: 2693492641

JENNIFER DYKSTRA (NPI# 1700216108) 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) 1700216108
Entity Type Individual
Full Name JENNIFER DYKSTRA
Other Name JENNIFER KOOL
Credential NP
Practice Address 117 W Paterson St
Kalamazoo
MI 49007-2557
Practice Telephone 2693492641
Mailing Telephone 2693492641
Enumeration Date 2013-11-21
Last Update Date 2020-10-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 4704261779 MI Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
7901 S 12th St Ste 200, Portage, MI 490243831 2693418585

Other Providers JENNIFER DYKSTRA

NPI Name Taxonomy Address Enumeration
1548685225 Jennifer Dykstra Registered Nurse 8801 W. Angel Dr, Wasilla, AK 99654 2014-03-04
1497700868 Jennifer Dykstra Nurse Practitioner 4139 Little Star Ct Sw, Grandville, MI 49418-3021 2006-05-24
1720136955 Jennifer Rebecca Dykstra Pharmacist 550 Munson Ave, Suite G100, Traverse City, MI 49686-3580 2007-01-05

Office Location

Street Address 117 W PATERSON ST
City KALAMAZOO
State MI
Zip Code 49007-2557

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790755270 Steven M Pollens Family Medicine 117 W Paterson St, Kalamazoo, MI 49007-2557 2006-01-25
1639782618 Nathalie Peterson Occupational Therapist 117 W Paterson St, Kalamazoo, MI 49007-2557 2020-08-28
1972111060 Susan Michelle Pickett Dental Hygienist 117 W Paterson St, Kalamazoo, MI 49007-2557 2020-07-15
1265076798 Ellen Mbungu Social Worker 117 W Paterson St, Kalamazoo, MI 49007-2557 2019-10-28
1578105334 Prabhjot Grewal Nurse Practitioner 117 W Paterson St, Kalamazoo, MI 49007-2581 2019-10-14
1588219166 Lindsey Rose Thelen Social Worker 117 W Paterson St, Kalamazoo, MI 49007-2581 2019-08-09
1093369571 Savahna Nicole Mason Social Worker 117 W Paterson St, Kalamazoo, MI 49007-2581 2019-08-01
1548813181 Rebecca Dodson Dental Hygienist 117 W Paterson St, Kalamazoo, MI 49007-2557 2019-07-23
1467010470 Mary Catherine Rose Social Worker 117 W Paterson St, Kalamazoo, MI 49007-2557 2019-06-04
1053977637 Mosab Aziz Occupational Therapist 117 W Paterson St, Kalamazoo, MI 49007-2581 2019-05-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881248342 Whitney Kiel Pharmacist 601 John Street Suite M-020, Kalamazoo, MI 49007 2019-08-01
1316591571 Laura Jedele Physical Therapist Bronson Healthcare Group, 601 John St, Kalamazoo, MI 49007 2019-07-26
1992209084 Yvonne Marie Heltzel Behavior Technician 1826 N Rose St, Kalamazoo, MI 49007 2018-03-22
1396263943 Travis Todd Turrell Physician Assistant 125 S Kalamazoo Mall Suite 204, Kalamazoo, MI 49007 2017-09-05
1619493186 Sarah Zuspann Nurse Practitioner 601 John Street, Suite 100, Kalamazoo, MI 49007 2017-08-16
1720529779 Dannison Psychologist 604 S Rose St, Kalamazoo, MI 49007 2017-03-10
1265988901 Calee Dieleman Social Worker 610 South Burdick, Kalamazoo, MI 49007 2016-09-01
1508313099 Arriel Julia Ampey Social Worker 414 S. Burdick St., Suite 200, Kalamazoo, MI 49007 2016-09-01
1043662745 Holloway Marston Psychologist 717 W South St, Apt. #6, Kalamazoo, MI 49007 2016-07-06
1205280062 Bronson At Home Home Health 601 John St Ste M-431, Kalamazoo, MI 49007 2016-04-19
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457913725 Erika Lynn Sullenberger Nurse Practitioner 601 John St Ste M-273, Kalamazoo, MI 49007-5360 2019-07-08
1104318369 Marathon Health LLC Nurse Practitioner 3520 Covington Rd, Kalamazoo, MI 49001 2018-06-04
1619493186 Sarah Zuspann Nurse Practitioner 601 John Street, Suite 100, Kalamazoo, MI 49007 2017-08-16
1750810495 Charmaine Kwei Nurse Practitioner 3601 S 9th St Rm 6, Kalamazoo, MI 49009-9538 2017-06-07
1558646976 Kimberly Ann Applebey Nurse Practitioner 601 John St Ste M-318, Kalamazoo, MI 49007 2011-10-17
1154639748 Deborah R Lee Nurse Practitioner 1521 Gull Rd Ste 130, Kalamazoo, MI 49048-1640 2010-09-17
1346495355 Lisa C Bury Nurse Practitioner 535 S Burdick St Ste 160, Kalamazoo, MI 49007-6113 2008-11-19
1073620720 Susan Nelson Nurse Practitioner 1701 Gull Rd, Kalamazoo, MI 49048-1609 2006-08-25
1295757623 Catherine Mae Williams Nurse Practitioner 348 N Burdick St, Kalamazoo, MI 49007-3830 2006-07-24
1972532463 Pamela S Miller Nurse Practitioner 353 South Burdick, Suite 256, Kalamazoo, MI 49007-5341 2006-06-30
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Competitor

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City KALAMAZOO
Zip Code 49007

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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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