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CEDAR ROCK HEALING & WELLNESS, LLC
NPI 1093502460
Nurse Practitioner - Primary Care in Cedar Springs, MI

Active since April 21, 2025CLIA 23D2328674 · Waiver
9190 14 MILE RD NE, CEDAR SPRINGS, MI 49319(616) 758-7132 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Cedar Rock Healing & Wellness, Llc NPPES

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

CEDAR ROCK HEALING & WELLNESS, LLC (NPI 1093502460) is a healthcare organization registered as a primary care in Cedar Springs, Michigan and active in the NPI registry since April 2025. The organization holds a CLIA Waiver certificate valid through August 13, 2027 and lists Sarah Dickinson, Owner, as its authorized official.

NPPES Registry Identity

NPI1093502460
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameCEDAR ROCK HEALING & WELLNESS, LLC
Location Address9190 14 MILE RD NECedar Springs, MI 49319-9319
Mailing AddressPo Box 595Jenison, MI 49429-0595
Phone(616) 758-7132
Organization SubpartNo
Authorized OfficialSarah DickinsonOwner · (616) 758-7132
Enumeration DateApril 21, 2025
NPPES CertifiedApril 21, 2025
✔ NPI 1093502460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
9190 14 MILE RD NE, Cedar Springs, MI 49319
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2328674

Cedar Rock Healing & Wellness LLC · Cedar Springs, MI
Active · expires Aug 13, 2027
CLIA Number23D2328674
Laboratory TypePatient's Homes
Certificate Effective DateAugust 14, 2025
Certificate Expiration DateAugust 13, 2027
Laboratory DirectorSarah Dickinson
Laboratory Phone(616) 758-7132
Laboratory LocationCedar Rock Healing & Wellness LLC9190 14 Mile Road NE, Cedar Springs, MI 49319
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Cedar Rock Healing & Wellness, LLC's NPI number?

The NPI number for Cedar Rock Healing & Wellness, LLC is 1093502460. It was assigned to this organization in the NPPES registry on April 21, 2025.

Where is Cedar Rock Healing & Wellness, LLC located?

Cedar Rock Healing & Wellness, LLC is located at 9190 14 Mile Rd NE, Cedar Springs, MI 49319. The listed phone number is (616) 758-7132.

What is Cedar Rock Healing & Wellness, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Does Cedar Rock Healing & Wellness, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2328674) is associated with this NPI, valid through August 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cedar Rock Healing & Wellness, LLC was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.