JOSHUA DENNIS WITHERSPOON (NPI# 1790323970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790323970 |
| Entity Type | Individual |
| Full Name | JOSHUA DENNIS WITHERSPOON |
| Credential | NP |
| Practice Address |
7751 Byron Center Ave Sw Suite C Grand Rapids MI 49351 |
| Mailing Address |
100 Michigan St Ne # Mc845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6162677668 |
| Enumeration Date | 2019-12-18 |
| Last Update Date | 2020-01-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
4704302028 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7751 BYRON CENTER AVE SW SUITE C |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649120 | Source Medical Solutions Pllc | General Practice | 625 Kenmoor Ave Se Ste 301, Grand Rapids, MI 49546-2395 | 2020-11-06 |
| 1225639560 | Ananya Avinash | Social Worker | 235 Olivia Ct Nw, Grand Rapids, MI 49504-5897 | 2020-11-03 |
| 1508467093 | Leah Jueckstock | Behavior Technician | 1703 N Greenfield Cir Ne Apt 102, Grand Rapids, MI 49505-5690 | 2020-11-03 |
| 1245831783 | Anthony Curtis Mcconer Sr. | Eyewear Supplier (Equipment, not the service) | 457 Highland St Se, Grand Rapids, MI 49507-1204 | 2020-11-02 |
| 1841890670 | Danielle Berry | Licensed Practical Nurse | 58 Murray St Se, Grand Rapids, MI 49548-3304 | 2020-10-30 |
| 1679173595 | Laura Ann Dillivan | Social Worker | 1545 Cole Ave Ne, Grand Rapids, MI 49505-5026 | 2020-10-29 |
| 1710587696 | Friesen & Friesen, Inc | Assisted Living Facility | 1971 Ne 1st Avenue, Grand Rapids, MN 55744 | 2020-10-29 |
| 1235739533 | Randy J Breen Dds Pllc | Clinic/Center | 2460 Burton St Se Ste 201, Grand Rapids, MI 49546-4800 | 2020-10-27 |
| 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 |
| 1982203485 | Becoming You Therapy Pllc | Social Worker | 2346 Mission Hills Dr Se, Grand Rapids, MI 49546-7804 | 2020-10-26 |
| Find all providers in GRAND RAPIDS | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306318498 | Ashley Marie Jacobson | Nurse Practitioner | 4100 Lake Dr Se Ste D, Grand Rapids, MI 49546-8292 | 2018-12-30 |
| 1568931673 | Jennifer Lavigne | Nurse Practitioner | 145 Michigan St Ne Ste 3300, Grand Rapids, MI 49503-2562 | 2018-11-19 |
| 1851886220 | Laura Maclam | Nurse Practitioner | 524 Marywood Dr Ne, Grand Rapids, MI 49505-4149 | 2018-06-27 |
| 1609482330 | Amy Manderscheid | Nurse Practitioner | 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 | 2020-09-18 |
| 1417563339 | Samantha Marie Utter | Nurse Practitioner | 25 Michigan St Ne Ste 6100, Grand Rapids, MI 49503-2561 | 2020-09-16 |
| 1295343986 | Elizabeth Ann Evans | Nurse Practitioner | 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 | 2020-07-19 |
| 1669098935 | Andrea Lynn Giffel | Nurse Practitioner | 145 Michigan St Ne Ste 3410, Grand Rapids, MI 49503-2563 | 2020-06-22 |
| 1326672767 | Andrea Patrice Sewell | Nurse Practitioner | 25 Michigan St Ne Ste 6100, Grand Rapids, MI 49503-2561 | 2020-02-25 |
| 1356971261 | Sarah Marie Nava | Nurse Practitioner | 100 Michigan St Ne # Mc019, Grand Rapids, MI 49503-2560 | 2020-01-20 |
| 1538705660 | Mavjuda Saydazamova | Nurse Practitioner | 80 68th St Se, Grand Rapids, MI 49548-6980 | 2019-11-25 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49351 |
Please comment or provide details below to improve the information on JOSHUA DENNIS WITHERSPOON.
| 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.