JENNIFER DYKSTRA (NPI# 1700216108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4704261779 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7901 S 12th St Ste 200, Portage, MI 490243831 | 2693418585 |
| 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 |
| Street Address |
117 W PATERSON ST |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49007-2557 |
| 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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| 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 |
| Find all providers in zip 49007 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| 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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| 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.