CHAD S THATCHER FNP NPI 1669587085

NPI Information

NPI: 1669587085
Provider Name: CHAD S THATCHER, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
100 MICHIGAN ST NE
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 391-1680
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Chad S Thatcher, FNP is a family nurse practitioner in Grand Rapids, MI with 22 years of experience. Chad S Thatcher, FNP NPI is 1669587085. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

100 MICHIGAN ST NE
GRAND RAPIDS, MI
ZIP 49503-560
Phone: (616) 391-1680

The NPI 1669587085 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/19/2006 and was last updated on 11/2/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		4704211785	MICHIGAN	No
2	363LF0000X	Nurse Practitioner	Family	4704211785	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P00003165	OTHER	MICHIGAN	RAILROAD MEDICARE
2	P41120040	MEDICARE PIN	MICHIGAN
3	P86211	MEDICARE UPIN
4	N30190006	MEDICARE PIN	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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