Judy Essenberg

Primary specialty

OpticianTaxonomy code 156FX1800X

Practice address

4069 Lake Dr SE
Suite 315
Grand Rapids, MI 49546-8816

Phone

(616) 464-2890

Fax

(616) 464-2891

NPI assigned

Jan 27, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233014400000",
    "number": "1114165214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4085 BURTON ST SE",
            "address_2": "SUITE 200",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4069 LAKE DR SE",
            "address_2": "SUITE 315",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468816",
            "telephone_number": "616-464-2890",
            "fax_number": "616-464-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESSENBERG",
        "first_name": "JUDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-27",
        "last_updated": "2009-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Eshleman-Hall Gibb
• Claire Margaret Esparza, PA-C
• Dennise Aileen Espendez, PHARM.D.
• Taylor Nicole Espinoza
• Madison Clare Esselink
• Kristin Nicole Essenberg, DO
• Essence Physical Therapy, Inc.
• Michael John Essenmacher, DO
• Essentia Counseling and Consultation, LLC
• Essential Hair Loss Solutions LLC

• Optician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Optician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; 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.