MRS. KYRA J TRACY (NPI# 1003295460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003295460 |
Entity Type | Individual |
Full Name | MRS. KYRA J TRACY |
Credential | RDH |
Practice Address |
608 S Missouri St. Waverly MO 64096 |
Mailing Address |
608 S. Missouri St. Waverly MO 64096 |
Practice Telephone | 6604932262 |
Practice Fax Number | 6604932796 |
Mailing Telephone | 6604932262 |
Mailing Fax Number | 6604932796 |
Enumeration Date | 2015-05-19 |
Last Update Date | 2015-05-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | 2013010347 | MO | Dental Providers |
Street Address |
608 S MISSOURI ST. |
City | WAVERLY |
State | MO |
Zip Code | 64096 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346205796 | Dorothy L Dighton | Nurse Practitioner | Missouri St & Hwy 24, Waverly, MO 64096 | 2006-04-19 |
1669843793 | Cynthia Diane Stock | Nurse Practitioner | 608 Missouri St, Waverly, MO 64096 | 2015-10-15 |
1780957290 | Jennifer Ann Patterson | Registered Nurse | 608 Missouri St, Waverly, MO 64096 | 2012-02-14 |
1679555114 | Patrick J Lowry | Psychiatry & Neurology | 608 Missouri St, Waverly, MO 64096-8241 | 2005-11-18 |
1073086955 | Ambria Michelle Wimsatt | Social Worker | 608 Missouri St, Waverly, MO 64096-8241 | 2019-01-03 |
1982179446 | Marc David Archer | Nurse Practitioner | 608 Missouri St, Waverly, MO 64096-8241 | 2018-10-10 |
1982034773 | Jefferson Medical Group | Clinic/Center | 608 Missouri St, Waverly, MO 64096-8241 | 2013-11-15 |
1881702454 | Deborah G. Ashinhurst | Nurse Practitioner | 608 Missouri St, Waverly, MO 64096-8241 | 2006-08-25 |
1285699579 | Gene A Mcfadden | Family Medicine | 608 Missouri St, Waverly, MO 64096-8241 | 2006-04-19 |
1174960769 | Health Care Coalition of Lafayette County | Clinic/Center | 608 Missouri Street, Waverly, MO 64096-8421 | 2013-05-23 |
Find all providers in zip 64096 |
Taxonomy Code | 124Q00000X |
Grouping | Dental Providers |
Classification | Dental Hygienist |
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194323238 | Marcia Poe | Dental Hygienist | 20815 S Dean Rd, Belton, MO 64012-9132 | 2020-10-12 |
1629682943 | Seong Jin Park | Dental Hygienist | 6958 Nebraska Ave Bldg 1608, Fort Leonard Wood, MO 65473-1618 | 2020-09-03 |
1447868542 | Emily Sue Leslie | Dental Hygienist | 315 W Mulberry Ste B, Pilot Knob, MO 63663-7860 | 2020-07-15 |
1982198453 | Traci Anne Shambo | Dental Hygienist | Bldg. 400 Virginia Ave, Fort Leonard Wood, MO 65473 | 2018-06-19 |
1396237863 | Maegen Mone Taylor | Dental Hygienist | 547 S Business Highway 13, Lexington, MO 64067 | 2018-05-31 |
1740798750 | Julie R Phillips | Dental Hygienist | 10007 Nw Lema Dr Apt C, Parkville, MO 64152-3933 | 2018-01-12 |
1639618325 | Tabitha Vollmer | Dental Hygienist | 1701 W. Sunshine Street, Suite Q, Springfield, MO 65807-2261 | 2017-02-15 |
1588113773 | Heather Annette Henke | Dental Hygienist | #5 Health Department Drive, Troy, MO 63379-4451 | 2016-09-28 |
1720532104 | Angela Faurot | Dental Hygienist | 4001 Pine View Dr, Columbia, MO 65202-4209 | 2016-08-15 |
1497105688 | Lisa Diane Moss | Dental Hygienist | 5047 Virginia Ave, Bldg 500, Fort Leonard Wood, MO 65473-9126 | 2016-06-17 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on MRS. KYRA J TRACY.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.