MISS SHELLY ANTHONY (NPI# 1043631435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043631435 |
| Entity Type | Individual |
| Full Name | MISS SHELLY ANTHONY |
| Credential | RDH |
| Practice Address |
120 King St Jacksonville FL 32204-2410 |
| Practice Telephone | 9042531287 |
| Enumeration Date | 2014-01-02 |
| Last Update Date | 2014-01-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH10361 | FL | Dental Providers |
| Street Address |
120 KING ST |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32204-2410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295718104 | Christine J Trunk | Dentist | 120 King St, Jacksonville, FL 32204-2410 | 2005-11-23 |
| 1336781772 | Wendy Lynn King | Nurse Practitioner | 120 King St, Jacksonville, FL 32204-2410 | 2019-10-16 |
| 1497269880 | Jau R Evans | Nurse Practitioner | 120 King St, Jacksonville, FL 32204-2410 | 2017-11-22 |
| 1225576499 | Shaunetra Toler | Nurse Practitioner | 120 King St, Jacksonville, FL 32204-2410 | 2017-02-07 |
| 1053863746 | Charles Emerson | Physician Assistant | 120 King St, Jacksonville, FL 32204-2410 | 2016-10-27 |
| 1992154181 | Agape Community Health Center Inc | Pharmacy | 120 King St, Jacksonville, FL 32204-2410 | 2016-06-08 |
| 1962867762 | Agape Community Health Center, Inc. | Clinic/Center | 120 King St, Jacksonville, FL 32204-2410 | 2015-12-21 |
| 1447621420 | Judith Hepburn | Nurse Practitioner | 120 King St, Jacksonville, FL 32204-2410 | 2015-10-15 |
| 1205013232 | Florida Department of Health | Public Health or Welfare | 120 King St, Mc 75, Jacksonville, FL 32204-2410 | 2008-01-22 |
| 1548440076 | Gwendolyn Ann Merritt | Nurse Practitioner | 120 King St, Jacksonville, FL 32204-2410 | 2007-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437719853 | North Florida Surgeons, Pa | Orthopaedic Surgery | 2 Shirlciff Ways, Suite 300, Jacksonville, FL 32204 | 2019-06-18 |
| 1770043531 | Manuel Viado Rosas | Physical Therapist | Bold City Therapy and Wellness LLC, 2054 Park Street, Jacksonville, FL 32204 | 2019-03-20 |
| 1255805172 | Tracie Nickole Singh | Marriage & Family Therapist | 1125 W Beaver Street, Suite 205, Jacksonville, FL 32204 | 2019-01-14 |
| 1427548544 | Bold City Therapy and Wellness LLC | Clinic/Center | 2054 Park Street, Jacksonville, FL 32204 | 2018-05-14 |
| 1356883078 | Lcn Enterprise, LLC | Case Manager/Care Coordinator | 1225 W Beaver St Ste 106, Jacksonville, FL 32204 | 2016-11-11 |
| 1073065082 | Prosser and Prosser LLC | Non-emergency Medical Transport (VAN) | 2120 Ernest St, Jacksonville, FL 32204 | 2016-10-26 |
| 1336529817 | Nader Daoud | Internal Medicine | 1 Shircliffway, Jacksonville, FL 32204 | 2015-06-01 |
| 1194119214 | Benjamin James Dionne | Internal Medicine | 2 Shircliff Way Ste 400, Jacksonville, FL 32204 | 2015-03-26 |
| 1598187932 | Jamara Stephens | Counselor | 1225 W Beaver St Ste 205, Jacksonville, FL 32204 | 2014-01-18 |
| 1154743961 | Kathleen Jasper | Nurse Anesthetist, Certified Registered | 2165 Herschel Street, Jacksonville, FL 32204 | 2014-01-14 |
| Find all providers in zip 32204 | ||||
| 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 |
|---|---|---|---|---|
| 1962012328 | Melody Jean Garcia | Dental Hygienist | Navy Medicene Support Command : Medical Staff Services, Bldg H, 2005 Knight Lane, Jacksonville, FL 32221-0140 | 2020-07-31 |
| 1659918985 | Iris E Fernandezregis | Dental Hygienist | Medical Staff Svcs, Bldg H 2005 Knight Lane, Jacksonville, FL 32212-0140 | 2019-12-05 |
| 1508341694 | Tommie Janae Kell | Dental Hygienist | 235 W Main St Fl 2, Jacksonville, OR 97530-9278 | 2018-09-25 |
| 1457759722 | Yue Wang | Dental Hygienist | 554 Keily Street - Bureau of Medicine and Surgery, Credentialing and Privileging, Jacksonville, FL 32212 | 2014-12-18 |
| 1295132017 | Trupti Patel | Dental Hygienist | 554 Keily St - Bureau of Medicine and Surgery, Certralized Credentials, Jacksonville, FL 32212 | 2014-11-21 |
| 1497185060 | Kelly Pickton | Dental Hygienist | 554 Keily St Bumed Ccp Directorate, Jacksonville, FL 32212 | 2013-11-19 |
| 1073866679 | Aubrie Leigh Tanner | Dental Hygienist | 7933 Baymeadows Way Ste 5, Jacksonville, FL 32256-7514 | 2012-10-19 |
| 1336492024 | Donna Mahacek | Dental Hygienist | 2764 Sebastian Ct, Jacksonville, FL 32224-2896 | 2012-10-18 |
| 1457518755 | Patricia Louise Jakubec | Dental Hygienist | 13226 Moby Dick Dr W, Jacksonville, FL 32218-2891 | 2008-05-22 |
| 1659464055 | Ernesto Aleniado Soberano | Dental Hygienist | 301 Preston Rd, Jacksonville, NC 28540-5656 | 2006-09-30 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32204 |
Please comment or provide details below to improve the information on MISS SHELLY ANTHONY.
| 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.