LORI VANDERWAL (NPI# 1932648615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932648615 |
| Entity Type | Individual |
| Full Name | LORI VANDERWAL |
| Practice Address |
3492 Lake Dr Se Grand Rapids MI 49546-4338 |
| Practice Telephone | 6169574057 |
| Mailing Telephone | 6169574057 |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2017-02-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3492 LAKE DR SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-4338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023251857 | Nedila K Major-babcock | Licensed Practical Nurse | 3492 Lake Dr Se, Grand Rapids, MI 49546-4338 | 2009-04-09 |
| 1144833492 | Alondra Soto | Technician | 3492 Lake Dr Se, Grand Rapids, MI 49546-4338 | 2020-08-26 |
| 1497367353 | Alexandria Horton | Technician | 3492 Lake Dr Se, Grand Rapids, MI 49546-4338 | 2020-08-20 |
| 1861020745 | Phylicia Marcell Walker | Technician | 3492 Lake Dr Se, Grand Rapids, MI 49546-4338 | 2020-03-27 |
| 1114553856 | Dante N/a Bermejo Ronquillo | Technician | 3492 Lake Dr Se, Grand Rapids, MI 49546-4338 | 2020-03-13 |
| 1487280293 | Chenice Peterson | Technician | 3492 Lake Dr Se, Grand Rapids, MI 49546-4338 | 2020-03-13 |
| 1326671108 | Erin Macdonald | Technician | 3492 Lake Dr Se, Grand Rapids, MI 49546-4338 | 2020-02-19 |
| 1063059954 | Michelle Lynn Holstege | Technician | 3492 Lake Dr Se, Grand Rapids, MI 49546-4338 | 2019-12-10 |
| 1932768488 | Pearline Haley | Technician | 3492 Lake Dr Se, Grand Rapids, MI 49546-4338 | 2019-06-09 |
| 1992265276 | Cynthia Yuritzi Lamas-navarro | Occupational Therapy Assistant | 3492 Lake Dr Se, Grand Rapids, MI 49546-4338 | 2019-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144785205 | Lindsey Sayles | Rehabilitation Practitioner | 3115 Cascade Rd Se, Grand Rapids, MI 49506-1961 | 2019-02-04 |
| 1891274460 | Lindsey Elizabeth Mcbride | Rehabilitation Practitioner | 1570 E Beltline Ave Se, Grand Rapids, MI 49546-4446 | 2018-08-14 |
| 1952839532 | Alexus Miller | Rehabilitation Practitioner | 1314 Langley St Se, Grand Rapids, MI 49508-8925 | 2017-05-26 |
| 1528595055 | Amber Rose Brautigam | Rehabilitation Practitioner | 315 Fuller Ave Se # 2, Grand Rapids, MI 49506-1639 | 2017-05-15 |
| 1962938282 | Rachel Gray | Rehabilitation Practitioner | 32 Winter Ave Sw, Apt 450, Grand Rapids, MI 49504-6486 | 2017-05-05 |
| 1821538604 | Skylar Glasscoe | Rehabilitation Practitioner | 1492 Burke Ave Ne Apt D, Grand Rapids, MI 49505-5351 | 2017-02-28 |
| 1659811669 | Alyssa Richards | Rehabilitation Practitioner | 340 Hollister Ave Se, Grand Rapids, MI 49506-1533 | 2017-02-24 |
| 1275072282 | Courtney Fae Meyers | Rehabilitation Practitioner | 2146 Engleside Dr Se, Grand Rapids, MI 49546-6225 | 2017-02-23 |
| 1336688688 | Jeana Marie Sybesma | Rehabilitation Practitioner | 1935 Ridgewood Ave Se, Grand Rapids, MI 49506-5030 | 2017-02-20 |
| 1356889661 | Maria Curit | Rehabilitation Practitioner | 239 Orchard Hill St Se, Grand Rapids, MI 49506-1540 | 2017-02-07 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
Please comment or provide details below to improve the information on LORI VANDERWAL.
| 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.