CHAD UNDERLY L.P.N.
NPI 1962828087
Licensed Practical Nurse in Grand Rapids, MI

Q: What is Chad Underly's NPI number?

The NPI number for Chad Underly is 1962828087. It was assigned to this individual provider in the NPPES registry on March 13, 2014.

Q: What is Chad Underly's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Chad Underly was last updated on March 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 March 13, 2014

1450 LEONARD ST NE, GRAND RAPIDS, MI 49505(616) 446-5101 Get Directions Write a Review

NPPES record last updated: March 13, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Chad Underly L.p.n. NPPES

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

CHAD UNDERLY L.P.N. (NPI 1962828087) is an individual licensed practical nurse in Grand Rapids, Michigan, licensed in Michigan (4703103389) and active in the NPI registry since March 2014.

NPPES Registry Identity

NPI1962828087

Entity TypeIndividualMale

Primary Taxonomy164W00000X

Provider Legal NameCHAD UNDERLYCredential: L.P.N.

Location Address1450 LEONARD ST NEGrand Rapids, MI 49505-5515

Mailing Address2809 Porter St SwGrandville, MI 49418-1144 · (616) 446-5101

Phone(616) 446-5101

Sole ProprietorYes

Enumeration DateMarch 13, 2014

✔ NPI 1962828087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in MI · 4703103389

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

1450 LEONARD ST NE, Grand Rapids, MI 49505

Open in Google Maps ↗

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.

REBECCA LYNN ROEDE LBSW

Social Worker