SAMANTHA LYNNE WYLIE (NPI# 1962954354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962954354 |
Entity Type | Individual |
Full Name | SAMANTHA LYNNE WYLIE |
Credential | NP |
Practice Address |
35 Michigan St Ne Ste 3003 Grand Rapids MI 49503-2528 |
Mailing Address |
100 Michigan St Ne # Mc845 Grand Rapids MI 49503-2560 |
Practice Telephone | 6162672570 |
Enumeration Date | 2016-11-01 |
Last Update Date | 2019-06-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
4704265506 | MI | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295278810 | Samantha Wylie | Marriage & Family Therapist | 3220 Trimblestone Ln, Apt 302, Raleigh, NC 27616-5931 | 2016-11-30 |
Street Address |
35 MICHIGAN ST NE STE 3003 |
City | GRAND RAPIDS |
State | MI |
Zip Code | 49503-2528 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215921432 | Brian Eric Woodruff | Psychiatry & Neurology | 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503-2528 | 2005-09-02 |
1184232332 | Erin Elizabeth Swartz | Physical Therapist | 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503-2528 | 2020-07-14 |
1407471220 | Katelyn Biros | Dietitian, Registered | 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503-2528 | 2020-06-09 |
1225668973 | Katelyn Frances Eling | Speech-Language Pathologist | 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503-2528 | 2020-01-22 |
1285264929 | Heather Lynette Francis | Speech-Language Pathologist | 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503-2528 | 2020-01-22 |
1225671381 | Dana Elise Reckley | Nurse Practitioner | 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503-2528 | 2019-10-22 |
1952950347 | Breanna Marie Beltz | Physician Assistant | 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503-2528 | 2019-09-09 |
1902374267 | Gregory Scott Balloid | Nurse Practitioner | 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503-2528 | 2018-11-05 |
1972086379 | Zoey M Rose | Occupational Therapist | 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503-2528 | 2018-09-11 |
1720584931 | Gretchen Berry | Social Worker | 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503-2528 | 2018-04-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
Find all providers in zip 49503 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154893956 | Jacquelyn Dunn | Nurse Practitioner | 630 Kenmoor Ave Se Ste 102, Grand Rapids, MI 49546-8626 | 2018-12-19 |
1558900183 | Kathryn Long | Nurse Practitioner | 1055 Medical Park Dr Se, Grand Rapids, MI 49546-3607 | 2019-12-30 |
1134690761 | Koren Gebben | Nurse Practitioner | 1959 East Paris Ave Se, Grand Rapids, MI 49546-6272 | 2018-12-07 |
1841775483 | Stacy Lu Allen | Nurse Practitioner | 35 Michigan St Ne Ste 4150, Grand Rapids, MI 49503-2529 | 2018-09-29 |
1538654835 | Anna Marie Rykse | Nurse Practitioner | 25 Michigan St Ne Ste 4200, Grand Rapids, MI 49503 | 2018-06-28 |
1578065140 | Kallie Rae Kraker | Nurse Practitioner | 4118 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 | 2018-02-28 |
1083122790 | Christopher Michael Bouma | Nurse Practitioner | 300 68th St Se, Grand Rapids, MI 49548-6927 | 2018-01-16 |
1144732850 | Michelle Kristine Buist | Nurse Practitioner | 35 Michigan St Ne, Grand Rapids, MI 49503-2514 | 2017-11-03 |
1952810830 | Kaitlin Jane Hendriksma | Nurse Practitioner | 550 Cherry St Se, Grand Rapids, MI 49503-4748 | 2017-09-24 |
1881061497 | Carole Lenzo | Nurse Practitioner | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2015-08-31 |
Find all providers in GRAND RAPIDS |
City | GRAND RAPIDS |
Zip Code | 49503 |
Please comment or provide details below to improve the information on SAMANTHA LYNNE WYLIE.
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.