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Krista Lynn Brewer

Physician β€’ Grand Rapids, MI

Deactivated NPI 1184151409 Deactivated in NPPES Female Practitioner
Practice location in NPPES

821 Sheldon Ave Se
Grand Rapids, MI 495071162

Phone: (616) 333-2286

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of September 14, 2020; the reason is not published. The records below are historical. They do not show whether Krista Brewer currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date May 17, 2017
NPI Deactivation Date September 14, 2020
NPI Active Period 2017 – 2020

Practice Location & Contact Primary Location

Practice Address

821 Sheldon Ave Se

Grand Rapids, MI 495071162

Fax 6162410511

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Grand Rapids and Michigan

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Foster Care Agency Primary Specialty

NUCC Taxonomy Code: 253J00000X

License # reported to NPPES MI A410294532

A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated September 14, 2020

NPPES lists this NPI as deactivated as of September 14, 2020; the reason is not published.

βœ…
NPI Profile Active May 17, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 17, 2017

Registered at 821 SHELDON AVE SE, GRAND RAPIDS, MI 495071162 (Tel: (616) 333-2286)

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Business Mailing Address (Initial Record) May 17, 2017

Registered at 821 SHELDON AVE SE, GRAND RAPIDS, MI 495071162 (Tel: 6163332286)

πŸ‘€
Provider Name / Credentials (Initial Record) May 17, 2017

Recorded as KRISTA BREWER

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 17, 2017

Foster Care Agency (license number reported to NPPES: MI A410294532)

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Initial NPI Registration & Enumeration May 17, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1184151409
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 17, 2017
Last Update: May 17, 2017
Deactivation Date: September 14, 2020

Mailing Address

821 Sheldon Ave Se

Grand Rapids, MI 495071162

Phone: 6163332286

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.