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KATHI RAE LOTTERMAN PA-C
NPI 1043291941
Physician Assistant in Grand Rapids, MI

Active since November 08, 2005
3355 EAGLE PARK DR NE, SUITE 103, GRAND RAPIDS, MI 49525(616) 942-7400(616) 942-7405 Get Directions Write a Review

NPPES record last updated: September 15, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathi Rae Lotterman Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHI RAE LOTTERMAN PA-C (NPI 1043291941) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601001917) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1043291941
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATHI RAE LOTTERMANCredential: PA-C
Location Address3355 EAGLE PARK DR NE, SUITE 103Grand Rapids, MI 49525-7004
Mailing AddressPo Box 1239Troy, MI 48099-1239 · (248) 824-6600
Phone(616) 942-7400
Fax(616) 942-7405
Sole ProprietorNo
Enumeration DateNovember 8, 2005
Last NPPES UpdateSeptember 15, 2014
✔ NPI 1043291941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601001917
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3355 EAGLE PARK DR NE, Grand Rapids, MI 49525
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Other Identifiers 4

Medicare PINN48650053
Medicare UPINP19633MI
OtherP00433229Railroad
Medicare ID-Type UnspecifiedON31830006MI

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK F GILLETTE PA-C
Physician Assistant
3355 EAGLE PARK DR NE, SUITE 103
GRAND RAPIDS, MI 49525
Kent County (616) 942-7400
MS. MOLLY JO RAAYMAKERS L.L.P.
Psychologist
3355 EAGLE PARK DR NE, STE 107
GRAND RAPIDS, MI 49525
Kent County (616) 940-9870
MICHAEL W BORGELD MD
Internal Medicine
3355 EAGLE PARK DR NE, SUITE 103
GRAND RAPIDS, MI 49525
Kent County (616) 942-7400
MR. DAVID CHARLES SCHROEDER LMSW
Social Worker (Clinical)
3355 EAGLE PARK DR NE, STE 107
GRAND RAPIDS, MI 49525
Kent County (616) 666-9921
KIMBERLY K DECKER PA
Physician Assistant
3355 EAGLE PARK DR NE, SUITE 103
GRAND RAPIDS, MI 49525
Kent County (616) 942-7400
PROFESSIONAL PAIN MANAGEMENT PC
Pain Medicine (Pain Medicine)
3355 EAGLE PARK DR NE, SUITE 106
GRAND RAPIDS, MI 49525
Kent County (616) 808-3500
MS. NATALIE DAWN BEVERSLUIS B.S., M.ED., L.M.T.
Massage Therapist
3355 EAGLE PARK DR NE, 107
GRAND RAPIDS, MI 49525
Kent County (616) 617-3760
TIMOTHY FRIESEN PSYD
Psychologist (Clinical)
3355 EAGLE PARK DR NE, STE 106
GRAND RAPIDS, MI 49525
Kent County (616) 942-8060

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathi Lotterman's NPI number?

The NPI number for Kathi Lotterman is 1043291941. It was assigned to this individual provider in the NPPES registry on November 8, 2005.

Where is Kathi Lotterman located?

Kathi Lotterman practices at 3355 Eagle Park Dr NE Suite 103, Grand Rapids, MI 49525. The listed phone number is (616) 942-7400.

What is Kathi Lotterman's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kathi Lotterman was last updated on September 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.