THERESA TAN (NPI# 1851903272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851903272 |
Entity Type | Individual |
Full Name | THERESA TAN |
Practice Address |
647 Northridge Dr Holland MI 49423-9213 |
Practice Telephone | 6162126235 |
Enumeration Date | 2020-08-18 |
Last Update Date | 2020-08-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704287991 | MI | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912424912 | Theresa Tan | Student in an Organized Health Care Education/Training Program | 1918 University Ave Ste 2b, Berkeley, CA 94704-3264 | 2017-08-29 |
Street Address |
647 NORTHRIDGE DR |
City | HOLLAND |
State | MI |
Zip Code | 49423-9213 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356996714 | Ella Rose Marx | Social Worker | 412 Century Lane, Holland, MI 49423 | 2019-08-02 |
1245720424 | Amanda Ann Allen | Behavior Technician | 165 Sorrento Drive, Holland, MI 49423 | 2018-05-14 |
1588194237 | Emily Amila Geurink | Physical Therapy Assistant | 4037 43rd St, Holland, MI 49423 | 2017-06-15 |
1285081737 | Kara Draayer | Nurse Anesthetist, Certified Registered | 25 W 8th St Ste 200, Holland, MI 49423 | 2016-05-14 |
1851776413 | Sara Ty | Occupational Therapist | 789 South Meadow Court, Holland, MI 49423 | 2015-07-24 |
1508243056 | Andrew Peasley | Chiropractor | 436 Century Ln., Holland, MI 49423 | 2015-05-05 |
1437536497 | Deborah Donnelly | Physical Therapy Assistant | 1221 16th Street, Holland, MI 49423 | 2015-04-29 |
1366846024 | John Nguyen | Pharmacist | 747 E 16th St, Holland, MI 49423 | 2014-10-09 |
1003257817 | Courtney Young | Social Worker | 96 W 15 Street Midtown Center- Arbor Circle, Holland, MI 49423 | 2013-07-09 |
1689014391 | Jason Pettet | Acupuncturist | 500 West 17th St., Holland, MI 49423 | 2013-06-26 |
Find all providers in zip 49423 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750988432 | Caitlin Schwark | Nurse Practitioner | 3705 Northpointe Dr Apt 21, Holland, MI 49424-7796 | 2020-10-05 |
1215578380 | Jennifer Olivier | Nurse Practitioner | 9161 Rolling Hill Rd, Holland, OH 43528-9204 | 2019-09-30 |
1750842167 | Perry Davis Babcock | Nurse Practitioner | 12330 James St Ste H10, Holland, MI 49424-9575 | 2019-03-28 |
1528534716 | Jennifer Boven | Nurse Practitioner | 577 Michigan Ave Ste 201, Holland, MI 49423-4911 | 2018-10-16 |
1487183067 | Keith Lamar Stroder | Nurse Practitioner | 6855 Spring Valley Dr Ste 150, Holland, OH 43528-7012 | 2017-06-07 |
1497107452 | Angela Kay Beil | Nurse Practitioner | 7059 Orchard Centre Drive, Holland, OH 43528 | 2016-07-01 |
1467706382 | Eileen Kelly Greco | Nurse Practitioner | 136 Karen Rd, Holland, PA 18966-2443 | 2012-10-30 |
1255655510 | Jill Lynn Federer | Nurse Practitioner | 1650 Eber Rd Ste E, Holland, OH 43528-9793 | 2010-03-16 |
1164662771 | Jason A Rickert | Nurse Practitioner | 1414 Spring Meadows Dr, Holland, OH 43528-9478 | 2009-02-23 |
1487658308 | Lisa Gaye Gill | Nurse Practitioner | 6711 Airport Hwy, Holland, OH 43528-8104 | 2005-06-09 |
Find all providers in HOLLAND |
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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.