Active NPI
Denise Ileen Seeber
- Occupational Therapist
- Allegan, MI
National Provider Identifier
1013418128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201002226
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5201002226 | MI | MD | Occupational 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.