MS. MARIE L HUSTAFA (NPI# 1073669073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073669073 |
| Entity Type | Individual |
| Full Name | MS. MARIE L HUSTAFA |
| Credential | RDH |
| Practice Address |
281 Sawyer Dr Durango CO 81303-3409 |
| Mailing Address |
Po Box 140 Durango CO 81302-0140 |
| Practice Telephone | 9702475702 |
| Practice Fax Number | 9702479126 |
| Mailing Telephone | 9702475702 |
| Mailing Fax Number | 9702479126 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 904555 | CO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 80528201 | 05 |
| Street Address |
281 SAWYER DR |
| City | DURANGO |
| State | CO |
| Zip Code | 81303-3409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932192598 | Southwest Colorado Mental Health Center, Inc | Clinic/Center | 281 Sawyer Dr, Suite 100, Durango, CO 81303-3409 | 2005-08-29 |
| 1316587645 | Adeline Bryant | Registered Nurse | 281 Sawyer Dr, Durango, CO 81303-3409 | 2020-01-15 |
| 1952838799 | Rosanna Marie Phillippi | Speech-Language Pathologist | 281 Sawyer Dr, Suite # 200, Durango, CO 81303-3409 | 2017-05-11 |
| 1710431036 | Sylvia Schmechel | Social Worker | 281 Sawyer Dr, Durango, CO 81303-3409 | 2016-08-04 |
| 1477913234 | Janice Bryan | Registered Nurse | 281 Sawyer Dr, Ste 300, Durango, CO 81303-3412 | 2016-03-07 |
| 1467818617 | Teresa Jennings | Social Worker | 281 Sawyer Dr, Suite 100, Durango, CO 81303-3409 | 2016-01-04 |
| 1306219258 | Olive A. Holmes | Social Worker | 281 Sawyer Dr, #100, Durango, CO 81303-3409 | 2015-10-31 |
| 1831568641 | Tim Schaldach | Technician, Health Information | 281 Sawyer Dr, Durango, CO 81303-3409 | 2015-09-22 |
| 1922484914 | Jessica Kate Edelbaum | Marriage & Family Therapist | 281 Sawyer Dr, Suite 100, Durango, CO 81303-3409 | 2015-08-03 |
| 1134506496 | Lauren Marie Smith | Psychologist | 281 Sawyer Dr, #100, Durango, CO 81303-3409 | 2015-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548870603 | Durango Surgery Center LLC | Clinic/Center | 1266 Escalante, Suite 101, Durango, CO 81303 | 2020-08-04 |
| 1659891489 | Sarah Raeghan Dessel | Behavioral Analyst | 2432 County Road 220, Durango, CO 81303 | 2017-06-22 |
| 1336546076 | Aerocare Holdings, Inc. | Durable Medical Equipment & Medical Supplies | 208 Parker Ave Ste C, Durango, CO 81303 | 2014-11-24 |
| 1235549361 | Brooke Hastings Cheatham | Family Medicine | 1305 Escalente Drive, Unit 205, Durango, CO 81303 | 2014-04-29 |
| 1346596855 | Kristi Deanne Stump | Registered Nurse | 281 Sawyer Drive, Durango, CO 81303 | 2012-08-02 |
| 1356643696 | Jonathan Stein Mitchell | Social Worker | 466 S. Skylane Dr., Open Sky Wilderness Therapy, Durango, CO 81303 | 2010-11-18 |
| 1295979771 | Gregory Albert Martin | Counselor | 466 South Skylane Drive, Durango, CO 81303 | 2009-04-28 |
| 1700054772 | Southwest Alternative Medical, Inc. | Family Medicine | 523-a South Camino Del Rio, Durango, CO 81303 | 2008-02-13 |
| 1316069073 | Jeffrey Yaskin | Physical Therapist | 327 S Camino Del Rio Unit 11b, Durango, CO 81303 | 2007-04-04 |
| 1023170479 | Daniel J Mcclure | Chiropractor | 523 -a S Camino Del Rio, Durango, CO 81303 | 2006-12-14 |
| Find all providers in zip 81303 | ||||
| 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 |
|---|---|---|---|---|
| 1568930840 | Madison Grace Hert | Dental Hygienist | 2530 Colorado Ave Ste A, Durango, CO 81301-4760 | 2018-11-05 |
| 1265601926 | Jolene Badding | Dental Hygienist | 1800 E 3rd Avenue, Suite 110, Durango, CO 81301 | 2008-02-27 |
| 1003096074 | Toni L Murray | Dental Hygienist | 555 Rivergate Ln, Suite B1-106, Durango, CO 81301 | 2007-11-07 |
| 1952925497 | Susan Lynn King | Dental Hygienist | 2530 Colorado Ave Ste A, Durango, CO 81301-4760 | 2020-06-01 |
| 1740813369 | Brittny L. Wilson | Dental Hygienist | 1970 E 3rd Ave Lowr Level, Durango, CO 81301-5056 | 2020-02-21 |
| 1477007391 | Jammy Templeton | Dental Hygienist | 701 Camino Del Rio Ste 316, Durango, CO 81301-5596 | 2016-08-09 |
| 1235594169 | Lorielle M Jack | Dental Hygienist | 2530 Colorado Ave Unit 1a, Durango, CO 81301-4761 | 2015-12-18 |
| 1093952962 | Bonnie Maie Hooper | Dental Hygienist | 701 Camino Del Rio, Suite 316, Durango, CO 81301-5466 | 2009-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326900 | Kassidee N Ficken | Dental Hygienist | 6671 Highway 36, Joes, CO 80822 | 2020-11-06 |
| 1932708302 | Andrea Viger | Dental Hygienist | 4167 Clifton Ct, Boulder, CO 80301-1712 | 2020-10-18 |
| 1841803657 | Tanara Dawn Block | Dental Hygienist | 1325 Hover St Ste 201, Longmont, CO 80501-3176 | 2020-08-31 |
| 1750993150 | Holly Delana Julch | Dental Hygienist | 2837 Federal Blvd, Denver, CO 80211-4117 | 2020-08-18 |
| 1841801032 | Ashley Lindsey | Dental Hygienist | 87 Merchant Dr # Usa, Montrose, CO 81401-3015 | 2020-08-12 |
| 1245849256 | Manish Tomar | Dental Hygienist | 4562 E Dartmouth Ave, Denver, CO 80222-6732 | 2020-07-26 |
| 1962028464 | Sarah Jane Tanner | Dental Hygienist | 1190 Everett Ct, Lakewood, CO 80215-4829 | 2020-06-19 |
| 1578186060 | Lacie Overman | Dental Hygienist | 360 Peak One Dr # 100, Frisco, CO 80443-5948 | 2020-05-19 |
| 1811518095 | Victoria Lynn Wilk | Dental Hygienist | 10186 Highland Meadow Cir Apt 33-205, Parker, CO 80134-9481 | 2020-04-29 |
| 1912526351 | Janet Karen Madrid | Dental Hygienist | 4023 Stampede Dr, Castle Rock, CO 80104-7849 | 2020-04-15 |
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| 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.