GRACE MIERENDORF LAT, ATC
NPI 1538774849
Specialist/Technologist - Athletic Trainer in Grand Rapids, MI

Q: What is Grace Mierendorf's NPI number?

The NPI number for Grace Mierendorf is 1538774849. It was assigned to this individual provider in the NPPES registry on September 14, 2020.

Q: What is Grace Mierendorf's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Q: When was this NPI record last updated?

The NPPES record for Grace Mierendorf was last updated on November 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 14, 2020

2770 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525(616) 267-7000 Get Directions Write a Review

NPPES record last updated: November 8, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 8, 2024, Jul 25, 2022, Sep 14, 2020 (3 updates tracked since 2020).

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About Grace Mierendorf Lat, Atc NPPES

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

GRACE MIERENDORF LAT, ATC (NPI 1538774849) is an individual athletic trainer provider in Grand Rapids, Michigan, licensed in Michigan (2601002645) and active in the NPI registry since September 2020. She maintains a secondary practice location in Holland.

NPPES Registry Identity

NPI1538774849

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameGRACE MIERENDORFCredential: LAT, ATC

Location Address2770 E BELTLINE AVE NEGrand Rapids, MI 49525-8614

Mailing Address820 Meadow DrWayland, MI 49348-1369 · (269) 680-9159

Phone(616) 267-7000

Sole ProprietorYes

Enumeration DateSeptember 14, 2020

Last NPPES UpdateNovember 8, 20243 updates tracked since enumeration

NPPES CertifiedNovember 8, 2024

✔ NPI 1538774849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

License✔ Licensed in MI · 2601002645

Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

2770 E BELTLINE AVE NE, Grand Rapids, MI 49525

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Secondary Practice Location 1

Location 13685 Butternut DrHolland, MI 49424-5439 · Phone (616) 786-1100 ext. 8180

Other Providers at the Same Location NPPES 20

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

VANESSA RAE SMITKO NP-C

Nurse Practitioner (Family)