MRS. GRACE ELIZABETH FENNEMA (NPI# 1982143251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982143251 |
| Entity Type | Individual |
| Full Name | MRS. GRACE ELIZABETH FENNEMA |
| Other Name | MRS. GRACE ELIZABETH BOOTSMA |
| Practice Address |
3361 36th St Se Grand Rapids MI 49512-2809 |
| Practice Telephone | 6169422522 |
| Mailing Telephone | 6169422522 |
| Enumeration Date | 2017-02-19 |
| Last Update Date | 2017-02-19 |
| 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 |
3361 36TH ST SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49512-2809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366747503 | Laura S Mcbeth | Speech-Language Pathologist | 3361 36th St Se, Grand Rapids, MI 49512-2809 | 2011-01-19 |
| 1851901839 | Melissa Mrsic | Behavior Technician | 3361 36th St Se, Grand Rapids, MI 49512-2809 | 2020-08-05 |
| 1871126714 | Broghan Gamble | Behavior Technician | 3361 36th St Se, Grand Rapids, MI 49512-2809 | 2020-02-19 |
| 1740813013 | Desiree Diane Stearns | Behavior Technician | 3361 36th St Se, Grand Rapids, MI 49512-2809 | 2020-02-14 |
| 1922630805 | Abigail Diane Schaedig | Behavior Technician | 3361 36th St Se, Grand Rapids, MI 49512-2809 | 2020-02-07 |
| 1831739978 | Margaret Emma Richardson | Behavior Technician | 3361 36th St Se, Grand Rapids, MI 49512-2809 | 2020-01-07 |
| 1740829142 | Brynn Kathaleen Pline | Behavior Technician | 3361 36th St Se, Grand Rapids, MI 49512-2809 | 2020-01-02 |
| 1255979936 | Melody A Jacobs | Behavior Technician | 3361 36th St Se, Grand Rapids, MI 49512-2809 | 2019-12-12 |
| 1689218653 | Tylor Mumby | Behavior Technician | 3361 36th St Se, Grand Rapids, MI 49512-2809 | 2019-11-03 |
| 1548803281 | Eileen Nhu Tran | Behavior Technician | 3361 36th St Se, Grand Rapids, MI 49512-2809 | 2019-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649757071 | St. Lukes Primary Care | Family Medicine | 5300 Patterson Ave Se Ste 1-d, Grand Rapids, MI 49512 | 2018-07-27 |
| 1013493733 | Pharmascript of Michigan Gr LLC | Pharmacy | 2661 29th St. Se Suite A, Grand Rapids, MI 49512 | 2018-07-16 |
| 1245736040 | Cassandra Slater | Technician, Other | 2925 Breton Rd Se, Grand Rapids, MI 49512 | 2018-04-02 |
| 1235632704 | John Mitchell Tanja | Occupational Therapist | 3350 Broadmoor Avenue Se, Grand Rapids, MI 49512 | 2018-03-12 |
| 1952829855 | Sarah Harlow | Physical Therapist | 2951 44th St Se, Kentwood, MI 49512 | 2017-08-31 |
| 1194248815 | Melinda Huizenga | Registered Nurse | 5300 Patterson Ave Se Ste 125, Grand Rapids, MI 49512 | 2017-07-25 |
| 1659812931 | Frantzie Pierre | Counselor | 3300 S Creek Dr Se Apt 201, Kentwood, MI 49512 | 2017-03-20 |
| 1104128602 | Hope Network Behavioral Health Services | Psychiatry & Neurology | 3361 36th Street, Grand Rapids, MI 49512 | 2010-12-03 |
| 1518282631 | Melanie Anne Hogeterp | Social Worker | 3180 East Paris Se, Kentwood, MI 49512 | 2010-03-31 |
| 1013147495 | Ardean Beth Brock-vanderwall | Counselor | 2828 Kraft Ave., Grand Rapids, MI 49512 | 2009-07-20 |
| Find all providers in zip 49512 | ||||
| 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 | 49512 |
Please comment or provide details below to improve the information on MRS. GRACE ELIZABETH FENNEMA.
| 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.