ANNA DERR (NPI# 1730673468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730673468 |
| Entity Type | Individual |
| Full Name | ANNA DERR |
| Practice Address |
3333 36th St Se Grand Rapids MI 49512-2809 |
| Practice Telephone | 6167265165 |
| Enumeration Date | 2018-06-16 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
28243182A | IN | Nursing Service Providers |
| Street Address |
3333 36TH ST SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49512-2809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861686784 | Lauren Elizabeth Spoon | Clinical Neuropsychologist | 3333 36th St Se, Grand Rapids, MI 49512-2809 | 2007-09-04 |
| 1942830963 | Shelby Vanhouten | Social Worker | 3333 36th St Se, Grand Rapids, MI 49512-2809 | 2020-01-17 |
| 1700375615 | Amanda Michelle Waidelich | Counselor | 3333 36th St Se, Grand Rapids, MI 49512-2809 | 2018-05-07 |
| 1154861433 | Caroline Lynch | Registered Nurse | 3333 36th St Se, Grand Rapids, MI 49512-2809 | 2017-03-06 |
| 1396197802 | Lauren Scott | Social Worker | 3333 36th St Se, Grand Rapids, MI 49512-2809 | 2016-07-08 |
| 1295180602 | Ashley Crawford I | Registered Nurse | 3333 36th St Se, Grand Rapids, MI 49512-2809 | 2016-05-04 |
| 1841680436 | Darla K Stutzman | Registered Nurse | 3333 36th St Se, Grand Rapids, MI 49512-2809 | 2015-02-03 |
| 1316353550 | Megan Kimmerle Bowman | Case Manager/Care Coordinator | 3333 36th St Se, Grand Rapids, MI 49512-2809 | 2014-07-09 |
| 1417373481 | Jennifer Price | Counselor | 3333 36th St Se, Grand Rapids, MI 49512-2809 | 2014-03-13 |
| 1497178644 | Lisa Staple | Registered Nurse | 3333 36th St Se, Grand Rapids, MI 49512-2809 | 2014-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649757071 | St. Lukes Primary Care | Family Medicine | 5300 Patterson Ave Se Ste 1-d, Grand Rapids, MI 49512 | 2018-07-27 |
| 1013493733 | Pharmascript of Michigan Gr LLC | Pharmacy | 2661 29th St. Se Suite A, Grand Rapids, MI 49512 | 2018-07-16 |
| 1245736040 | Cassandra Slater | Technician, Other | 2925 Breton Rd Se, Grand Rapids, MI 49512 | 2018-04-02 |
| 1235632704 | John Mitchell Tanja | Occupational Therapist | 3350 Broadmoor Avenue Se, Grand Rapids, MI 49512 | 2018-03-12 |
| 1952829855 | Sarah Harlow | Physical Therapist | 2951 44th St Se, Kentwood, MI 49512 | 2017-08-31 |
| 1194248815 | Melinda Huizenga | Registered Nurse | 5300 Patterson Ave Se Ste 125, Grand Rapids, MI 49512 | 2017-07-25 |
| 1659812931 | Frantzie Pierre | Counselor | 3300 S Creek Dr Se Apt 201, Kentwood, MI 49512 | 2017-03-20 |
| 1104128602 | Hope Network Behavioral Health Services | Psychiatry & Neurology | 3361 36th Street, Grand Rapids, MI 49512 | 2010-12-03 |
| 1518282631 | Melanie Anne Hogeterp | Social Worker | 3180 East Paris Se, Kentwood, MI 49512 | 2010-03-31 |
| 1013147495 | Ardean Beth Brock-vanderwall | Counselor | 2828 Kraft Ave., Grand Rapids, MI 49512 | 2009-07-20 |
| Find all providers in zip 49512 | ||||
| Taxonomy Code | 163WP0807X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Child & Adolescent |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407313844 | Maira Ibette Perez | Registered Nurse | 3300 36th St Se, Grand Rapids, MI 49512-2810 | 2019-02-21 |
| 1548752314 | Marci Marie Colyer | Registered Nurse | 1055 Medical Park Dr Se, Grand Rapids, MI 49546-3607 | 2018-06-06 |
| 1184116188 | Stephanie Lynn Lecompte | Registered Nurse | 3300 36th St Se, Grand Rapids, MI 49512-2810 | 2018-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497397095 | Abbi Michelle Kill | Registered Nurse | 967 E Brickley Ave, Hazel Park, MI 48030-1223 | 2019-10-15 |
| 1427514066 | Kenyatta Antoinette Stephens | Registered Nurse | 34369 Ramble Hills Dr, Farmington Hills, MI 48331-4227 | 2019-02-19 |
| 1841721032 | Alfreda Smith | Registered Nurse | 29255 Laurel Woods Dr. Apt103, Southfield, MI 48034 | 2017-03-21 |
| 1891915989 | Cynthia Lynn Blair | Registered Nurse | 125 E Southern Avenue, Muskegon, MI 49442 | 2007-04-30 |
| 1750434239 | Sarah J Ash | Registered Nurse | 983 Spaulding Office Annex, Ada, MI 49301 | 2007-01-19 |
| 1235207556 | Maureen Elaine Kassof | Registered Nurse | 5859 Cedar Ridge Dr, Ann Arbor, MI 48103-8790 | 2006-12-04 |
| 1265528756 | Kathleen Rosemarie Bender | Registered Nurse | 33101 Annapolis St Ste B, Wayne, MI 48184-2405 | 2006-10-04 |
| 1013538834 | Melissa Margo Black | Registered Nurse | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2020-05-04 |
| 1891327821 | Samara Bibi | Registered Nurse | 882 Oakman Blvd, Detroit, MI 48238-3710 | 2020-02-07 |
| 1790322865 | Stephanie Lynn Brady | Registered Nurse | 37450 Schoolcraft Rd, Livonia, MI 48150-1082 | 2019-12-07 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49512 |
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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.