NICOLE JOY GLINES (NPI# 1073779542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073779542 |
| Entity Type | Individual |
| Full Name | NICOLE JOY GLINES |
| Practice Address |
East Highway 18 Pine Ridge SD 57770 |
| Mailing Address |
Po Box 1201 Pine Ridge SD 57770-1201 |
| Practice Telephone | 6058673078 |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2008-08-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | SD860 | SD | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154854313 | Nicole Uresk Glines | Pharmacist | 250 W 300 N, Roosevelt, UT 84066-2336 | 2017-04-05 |
| Street Address |
EAST HIGHWAY 18 |
| City | PINE RIDGE |
| State | SD |
| Zip Code | 57770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891767703 | Steven G Beliel | Family Medicine | East Highway 18, Pine Ridge Hospital, Pine Ridge, SD 57770 | 2006-02-03 |
| 1093228157 | Pine Ridge Indian Health Service | Clinic/Center | East Highway 18, Pine Ridge, SD 57701 | 2017-11-13 |
| 1972048379 | Leeann Bruns | Registered Nurse | East Highway 18, Pine Ridge, SD 57770 | 2016-12-21 |
| 1770032336 | Michelle Janis | Registered Nurse | East Highway 18, Box 1201, Pine Ridge, SD 57770-1201 | 2016-09-23 |
| 1750838074 | Holly Humphries | Registered Nurse | East Highway 18, Pine Ridge, SD 57770 | 2016-09-02 |
| 1770937559 | Tia Akers | Registered Nurse | East Highway 18, Pine Ridge, SD 57770 | 2016-04-19 |
| 1831588318 | Heather Derby | Pharmacist | East Highway 18, Pine Ridge Ihs Hospital, Pine Ridge, SD 57770 | 2015-01-21 |
| 1639584048 | Sandra Pettigrew | Registered Nurse | East Highway 18, East Highway 18, Pine Ridge, SD 57770-1201 | 2014-06-24 |
| 1396161170 | Jason Christian Lootens | Social Worker | East Highway 18, Ihs Compound, Pine Ridge, SD 57770-1201 | 2014-03-17 |
| 1063842417 | Jobeth Ann Swallow | Registered Nurse | East Highway 18, Pine Ridge, SD 57770 | 2013-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508427352 | Apollo Medflight, LLC | Ambulance | 12 Airport Rd, Pine Ridge, SD 57770 | 2019-06-24 |
| 1740795780 | Oglala Sioux Tribe Air Rescue | Ambulance | Pine Ridge Comprehensive Hospital: 1201 E. Highway 18th, Pineridge, SD 57770 | 2017-12-13 |
| 1841546264 | Sharla Laurene Roth | Pharmacist | E Highway 18, Pine Ridge, SD 57770 | 2012-08-03 |
| 1477843282 | Keith Lincoln Keller | Family Medicine | Ihs Pine Ridge Service Unit, Hwy 18, Pine Ridge, SD 57770 | 2011-04-13 |
| 1992024137 | Jackalyn Spry | Radiologic Technologist | 4500 E Hwy 18, Pine Ridge, SD 57770 | 2010-05-27 |
| 1063666071 | Virginia Horn | Registered Nurse | 1201 East Highway 18, Pine Ridge, SD 57770 | 2008-11-05 |
| 1881854602 | Melva A Clifford | Registered Nurse | 4500 Main Street, Pine Ridge, SD 57770 | 2008-06-16 |
| 1487814513 | Rodney R Sahr | Registered Nurse | Hwy 18 East, Pine Ridge Hospital, Pine Ridge, SD 57770 | 2008-06-12 |
| 1770743924 | Maneen Baker | Registered Nurse | Pine Ridge Ihs, Us Hwy 18, Pine Ridge, SD 57770 | 2008-06-11 |
| 1871752139 | Patricia Jane Broberg | Registered Nurse | Us Hwy 18, Pine Ridge, SD 57770 | 2008-06-03 |
| Find all providers in zip 57770 | ||||
| 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 |
|---|---|---|---|---|
| 1154862068 | Damien Eric Lawhorn | Dental Hygienist | East Hwy 18, Pine Ridge, SD 57770-1201 | 2017-03-10 |
| 1831439082 | Carla Ofelia Nunez | Dental Hygienist | East Highway 18, Usphs Indian Hospital, Pine Ridge, SD 57770 | 2013-02-26 |
| 1962643601 | Delores E Starr | Dental Hygienist | East Highway 18, Ihs Pine Ridge Hospital, Pine Ridge, SD 57770 | 2009-03-10 |
| 1316106156 | Amy L Dayhoff | Dental Hygienist | East Hwy 18, Pine Ridge, SD 57770-1201 | 2008-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467889857 | Patti Fuchs | Dental Hygienist | 903 N Monroe Ave, Pierre, SD 57501-2331 | 2013-10-01 |
| 1235577495 | Tucker William Gross | Dental Hygienist | 1306 S Lake Dr, Watertown, SD 57201-5450 | 2013-06-10 |
| 1902241797 | Carmen Kathryn Maher Kraft | Dental Hygienist | 24276 166th St. Airport Rd., Dental Clinic, Eagle Butte, SD 57625-0590 | 2013-05-07 |
| 1033454962 | Melissa Rae Drennon | Dental Hygienist | 1845 Harmony Heights Ln, 301, Rapid City, SD 57702-6245 | 2012-12-04 |
| 1548513518 | Zona Lyn Hornstra | Dental Hygienist | 4420 E 37th St, Sioux Falls, SD 57103-6556 | 2012-10-16 |
| 1730342304 | Deena Elaine Rosario | Dental Hygienist | 1000 Health Center Road Kyle Health Center 57752, #540, Kyle, SD 57752-0540 | 2008-07-03 |
| 1851575609 | Suzanne R Luken | Dental Hygienist | 12279 Brady Dr, Custer, SD 57730-9160 | 2007-12-27 |
| 1730609868 | Jane Phillips | Dental Hygienist | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2017-06-20 |
| 1497107056 | Cindy Delong | Dental Hygienist | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2016-07-07 |
| 1205269339 | Candi Eileen Sails | Dental Hygienist | 804 N Euclid Ave, Pierre, SD 57501-1719 | 2013-08-13 |
| Find all providers with the same taxonomy | ||||
| City | PINE RIDGE |
| Zip Code | 57770 |
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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.