Jamie Lauren Dekorte, RN, BSN

Primary specialty

Rehabilitation Registered NurseTaxonomy code 163WR0400X

License

4704222608 Issued in MI

Practice address

1490 E Beltline Ave SE
Grand Rapids, MI 49506-4336

Phone

(616) 464-0279

Fax

(616) 301-1971

NPI assigned

Oct 30, 2012

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351555200000",
    "number": "1417201336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 E BELTLINE AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064336",
            "telephone_number": "616-464-0279",
            "fax_number": "616-301-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 E BELTLINE AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064336",
            "telephone_number": "616-464-0279",
            "fax_number": "616-301-1971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEKORTE",
        "first_name": "JAMIE",
        "middle_name": "LAUREN",
        "credential": "RN, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-30",
        "last_updated": "2012-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Rehabilitation",
            "state": "MI",
            "license": "4704222608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING LICENSE",
            "identifier": "4704222608",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zoey Marie Dekker, MS OTR/L
• Andrew Dekkinga, RN
• Kayla Jane Dekkinga, MS CCC SLP
• Michael James Dekock
• Rebecca Dekorne
• Mark Dekraker, OTR/L
• Lanae Dekryger, OTR/L
• Lewis Dekryger, MD
• Stephanie Renae Dekryger, OTR/L
• Victoria R Dekryger

• Rehabilitation Registered Nurse in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Rehabilitation Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; 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.