SAMANTHA LYNNE WYLIE


Address: 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503-2528
Phone: 6162672570

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).

Provider Overview

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

Taxonomy

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

Other Providers SAMANTHA WYLIE

NPI Name Taxonomy Address Enumeration
1295278810 Samantha Wylie Marriage & Family Therapist 3220 Trimblestone Ln, Apt 302, Raleigh, NC 27616-5931 2016-11-30

Office Location

Street Address 35 MICHIGAN ST NE STE 3003
City GRAND RAPIDS
State MI
Zip Code 49503-2528

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City GRAND RAPIDS
Zip Code 49503

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Dataset Information

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.

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