Individual provider Active NPI

Denise Ileen Seeber

  • Occupational Therapist
  • Allegan, MI
National Provider Identifier
1013418128
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201002226 Issued in MI
Practice address
3265 122ND Ave
Allegan, MI 49010-9511
Phone
(269) 673-2102
Fax
(269) 686-4683
NPI assigned
Feb 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201002226 MI Primary

Addresses

Primary practice location

3265 122ND Ave
Allegan, MI 49010-9511

Mailing address

607 Dewey Ave NW Ste 300
Grand Rapids, MI 49504-7335
Phone (616) 356-5000

Other practice location 1

285 N State St
Zeeland, MI 49464-1297
Phone (616) 772-4641

Other practice location 2

280 W 40th St
Holland, MI 49423-4664
Phone (616) 796-3637

Other names 1

  • Denise Ileen Conard Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5201002226MIMDOccupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1013418128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 DEWEY AVE NW STE 300",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495047335",
            "telephone_number": "616-356-5000",
            "fax_number": "616-356-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3265 122ND AVE",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490109511",
            "telephone_number": "269-673-2102",
            "fax_number": "269-686-4683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "285 N State St",
            "address_purpose": "LOCATION",
            "city": "Zeeland",
            "state": "MI",
            "postal_code": "494641297",
            "country_code": "US",
            "telephone_number": "616-772-4641",
            "fax_number": "616-772-4695",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "280 W 40th St",
            "address_purpose": "LOCATION",
            "city": "Holland",
            "state": "MI",
            "postal_code": "494234664",
            "country_code": "US",
            "telephone_number": "616-796-3637",
            "fax_number": "616-796-3609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEEBER",
        "first_name": "DENISE",
        "middle_name": "ILEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201002226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "CONARD",
            "middle_name": "ILEEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Allegan, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.