Hailey Van Ham

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704345684 Issued in MI

Practice address

857 Fairfield Ave NW
Grand Rapids, MI 49504-3743

Phone

(616) 773-9518

NPI assigned

Dec 8, 2025

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

State licenses

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

{
    "created_epoch": "1765152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1306709282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 FAIRFIELD AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495043743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 FAIRFIELD AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495043743",
            "telephone_number": "616-773-9518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN HAM",
        "first_name": "HAILEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-08",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704345684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jana Lea Van Enk, B.A.
• Lisa Lynn Van Etten, LLMSW
• Adam Thomas Van Gessel, D.C.
• Daniel Gerard Van Gessel, DC
• Natasha Van Grinsven
• Katie Marie Van Haren, DDS
• Katlyn S Van Heck
• Jesse G Van Heukelom, M.D.
• Angela June Van Horn
• Madeline Jane Van Houten

• Nurse Practitioner in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; 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.