RYAN MICHAEL DE NIKE (NPI# 1730788530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730788530 |
| Entity Type | Individual |
| Full Name | RYAN MICHAEL DE NIKE |
| Practice Address |
4710 W Saginaw Hwy Ste 8 Lansing MI 48917-2654 |
| Mailing Address |
3135 Ingham St Lansing MI 48911-1832 |
| Practice Telephone | 2192413353 |
| Mailing Telephone | 2192413353 |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6401018493 | MI | Behavioral Health & Social Service Providers |
| Street Address |
4710 W SAGINAW HWY STE 8 |
| City | LANSING |
| State | MI |
| Zip Code | 48917-2654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053937102 | Tawni Klein | Speech-Language Pathologist | 701 Snow Rd Suite A, Lansing, MI 48917 | 2020-06-24 |
| 1639700545 | Steevens Pierre Mirville | Technician | 5814 Cabrena Drive, Lansing, MI 48917 | 2020-01-29 |
| 1376197830 | Cheryl Ann Day | Physical Therapist | 7107 Treasure Isle, Lansing, MI 48917 | 2019-08-01 |
| 1912423849 | National Seating & Mobility, Inc | Durable Medical Equipment & Medical Supplies | 419 Lentz Ct, Lansing, MI 48917 | 2017-08-22 |
| 1215367149 | Thomas Ball | Pharmacist | 5125 W Saginaw, Lansing, MI 48917 | 2013-11-13 |
| 1144658659 | Eaton Care Center, LLC | Skilled Nursing Facility | 12200 Broadbent, Lansing, MI 48917 | 2013-10-18 |
| 1154768596 | Casey Stokes | Physical Therapist | 4911 W St Joe Hwy Suite 101, Lansing, MI 48917 | 2013-05-24 |
| 1164774659 | Bona Birki Gada | Pharmacist | 2410 W. Willow St, Apt A203, Lansing, MI 48917 | 2012-10-08 |
| 1497037584 | Fms Lansing, LLC | Clinic/Center | 916 Mall Drive East, Suite 100, Lansing, MI 48917 | 2011-09-14 |
| 1326332396 | Talitha P Easterly | Psychologist | 302 South Waverly, Suite 1, Lansing, MI 48917 | 2011-06-07 |
| Find all providers in zip 48917 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447863634 | Hillary Anne Levergood | Counselor | 6211 W Willow Hwy # 199, Lansing, MI 48917-1231 | 2020-08-26 |
| 1841859642 | Wendy Evans | Counselor | 226 N Fairview Ave, Lansing, MI 48912-3020 | 2019-06-06 |
| 1861057473 | Cor Counseling, Community Services and Clinical Supervision | Counselor | 2720 Alpha Access St Ste D, Lansing, MI 48910-3608 | 2019-05-08 |
| 1366937518 | Angela Lynn Kersey | Counselor | 901 Clark St, Lansing, MI 48906-5426 | 2018-06-28 |
| 1639663016 | Angelica Arreola | Counselor | 18155 Roy St Ste 2, Lansing, IL 60438-2377 | 2018-06-19 |
| 1265947808 | Leah Short | Counselor | 424 Allen St, Lansing, MI 48912-2602 | 2017-12-05 |
| 1417497488 | Michelle Leigh Ciloski | Counselor | 1521 Sherwood Ln, Lansing, MI 48917-2060 | 2017-02-24 |
| 1023569571 | Mark Anthony Denning Jr. | Counselor | 4814 Tressa Dr, Lansing, MI 48910-5106 | 2016-10-19 |
| 1700335049 | Holly Ann Dickinson | Counselor | 1029 Woodbine Ave, Lansing, MI 48910-2770 | 2016-09-28 |
| 1932654449 | Susan Kay Christian | Counselor | 1209 Parkdale St, Lansing, MI 48910-1880 | 2016-08-25 |
| Find all providers in LANSING | ||||
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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.