Ellen Ann Everest, BSBA

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

License

373H00000X Issued in MI

Practice address

3075 Orchard Vista Dr SE
Grand Rapids, MI 49546-7069

Phone

(616) 248-5900

Fax

(616) 301-8010

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

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": "1351555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351555200000",
    "number": "1831443746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 890",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495180890",
            "telephone_number": "616-248-5900",
            "fax_number": "616-301-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 ORCHARD VISTA DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467069",
            "telephone_number": "616-248-5900",
            "fax_number": "616-301-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVEREST",
        "first_name": "ELLEN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "BSBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-30",
        "last_updated": "2012-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "MI",
            "license": "373H00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mark A Evenhouse, M.D.
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• William Lee Everett, M.A.
• Marcia Everette
• Kaitlyn Marie Evergreen
• Melanie R Everhart, PHARMD
• Emily Everitt

• Day Training/Habilitation Specialist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Day Training/Habilitation Specialist 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.