Lori Deanne Caldwell-Ritsema, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601002223 Issued in MI

Practice address

2750 E Beltline Ave NE
Grand Rapids, MI 49525-8614

Phone

(616) 267-0030

NPI assigned

Aug 30, 2006

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 names 1

• Lori Caldwell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: lcaldwellritsema95853@direct.covenanthealthcare.com
• FHIR API: https://api.platform.athenahealth.com/14536/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Center for Adolescent and Child Neurology

  • Neurology with Special Qualifications in Child Neurology Physician
  • Grand Rapids, MI
  • NPI 1942620638
  NPD (past)
• Dean T Smith MD PLLC

  • Surgery Physician
  • Grand Rapids, MI
  • NPI 1972626208
  NPD (past)
• Mary Free Bed Rehabilitation Hospital

  • Physical Medicine & Rehabilitation Physician
  • Grand Rapids, MI
  • NPI 1053641589
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1982713186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560",
            "fax_number": "616-840-9640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 E BELTLINE AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495258614",
            "telephone_number": "616-267-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL-RITSEMA",
        "first_name": "LORI",
        "middle_name": "DEANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601002223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "CALDWELL",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rafael Caldas, LMSW
• Allan C. Caldemeyer, D.D.S.
• Calder City Taxi
• David Edward Calderhead, MD
• Joel Andrew Caldon, MD
• Charles Caldwell, DDS, MS
• Claire Caldwell
• Garrett Caldwell, DO
• Luke A Caldwell, NURSE PRACTIONER
• Rebecca Caldwell, MD

• Physician Assistant in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.