MRS. CONNIE LYNNE RUTLEDGE (NPI# 1073967832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073967832 |
| Entity Type | Individual |
| Full Name | MRS. CONNIE LYNNE RUTLEDGE |
| Other Name | MS. CONNIE LYNNE MARTIN |
| Practice Address |
3750 Chemawa Rd Ne Salem OR 97305 |
| Practice Telephone | 5033047631 |
| Practice Fax Number | 5033047639 |
| Mailing Telephone | 5033047631 |
| Mailing Fax Number | 5033047639 |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2016-04-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 1540 | OK | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003260191 | Connie Rutledge | Registered Nurse | 1754 Us Highway 23 North, Weber City, VA 24290-7071 | 2016-04-15 |
| Street Address |
3750 CHEMAWA RD NE |
| City | SALEM |
| State | OR |
| Zip Code | 97305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336142942 | Michael Paul Kelly | Pharmacist | 3750 Chemawa Rd Ne, Salem, OR 97305-1119 | 2005-05-27 |
| 1962051516 | Diana Morrow | Art Therapist | 3750 Chemawa Rd Ne, Salem, OR 97305-1198 | 2019-09-06 |
| 1205316734 | Jessica Rae Hirsh Angle | Art Therapist | 3750 Chemawa Rd Ne, Salem, OR 97305-1119 | 2018-08-15 |
| 1245783133 | Ashley-drake Estes | Counselor | 3750 Chemawa Rd Ne, Salem, OR 97305-1119 | 2016-07-27 |
| 1669828323 | Michelle Livingston | Registered Nurse | 3750 Chemawa Rd Ne, Salem, OR 97305-1119 | 2016-05-11 |
| 1124491923 | Laura Teresa Hunker | Social Worker | 3750 Chemawa Rd Ne, Salem, OR 97305-1119 | 2015-11-03 |
| 1396117511 | Western Oregon Service Unit | Clinic/Center | 3750 Chemawa Rd Ne, Salem, OR 97305-1119 | 2015-10-27 |
| 1912373523 | Tracy Nelson | Registered Nurse | 3750 Chemawa Rd Ne, Salem, OR 97305-1119 | 2015-08-18 |
| 1467835462 | Katie Ann Shaw | Dental Hygienist | 3750 Chemawa Rd Ne, Salem, OR 97305-1119 | 2015-07-08 |
| 1093195125 | Sarah Hiller | Dental Hygienist | 3750 Chemawa Rd Ne, Salem, OR 97305-1119 | 2015-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821639147 | Christine Ann Featherstone | Social Worker | Chemawa Indian Health Center, 3750 Chemawa Road, Salem, OR 97305 | 2019-10-08 |
| 1962996553 | Erin Ann Wakefield | Non-emergency Medical Transport (VAN) | 2425 Fisher Rd Ne, Salem, OR 97305 | 2018-06-18 |
| 1770002271 | Traci L Lee | Case Manager/Care Coordinator | 3876 Beverly Ave Bldg G, Salem, OR 97305 | 2017-09-15 |
| 1952825762 | Matthew Paul Martin | Dentist | 2737 Lancaster Dr Ne Ste 150, Salem, OR 97305 | 2017-08-02 |
| 1043750367 | Sherri King | Physical Therapy Assistant | 4696 Reimann St Ne, Salem, OR 97305 | 2017-03-06 |
| 1760861314 | Amara Lenore Peterson | Counselor | 4347 Sunnyview Rd Ne, Salem, OR 97305 | 2015-05-28 |
| 1720467954 | Heather Rose | Community Health Worker | 4347 Sunnyview Road Ne, Salem, OR 97305 | 2015-05-20 |
| 1588057004 | Carmen Heidecke | Counselor | 4347 Sunnyview Rd. Ne, Salem, OR 97305 | 2015-03-08 |
| 1629476825 | Bryan James Greenaway | Audiologist | 3857 Wolverine St Ne Ste C-16, Salem, OR 97305 | 2014-12-21 |
| 1710300322 | Christopher Ryan | Counselor | 4385 Sunnyview Road Ne, Salem, OR 97305 | 2014-02-03 |
| Find all providers in zip 97305 | ||||
| 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 |
|---|---|---|---|---|
| 1699310946 | Beatriz Alvarez | Dental Hygienist | 3745 Portland Rd Ne Ste 190, Salem, OR 97301-0311 | 2019-11-11 |
| 1730734823 | Natasha Crisman | Dental Hygienist | 1296 Commercial St Se Ste 101, Salem, OR 97302-4200 | 2019-08-06 |
| 1497312458 | Chelsea Ann Montgomery | Dental Hygienist | 1251 Lancaster Dr Ne Ste A, Salem, OR 97301-1994 | 2019-05-24 |
| 1316452279 | Shauna Elaine Wilson | Dental Hygienist | 1251 Lancaster Dr Ne, B, Salem, OR 97301 | 2017-12-13 |
| 1508215138 | Daniel Hahn | Dental Hygienist | 5523 Ross Ct Se, Salem, OR 97306-1159 | 2016-06-04 |
| 1811357791 | Melanie Pace | Dental Hygienist | 818 East 750 South, Salem, UT 84653 | 2016-03-04 |
| 1407216021 | Smurf Darrow | Dental Hygienist | 831 Lancaster Mall Drive Ne, Suite 2, Salem, OR 97301 | 2016-02-24 |
| 1295195923 | Suzann Whtieman | Dental Hygienist | 818 E 750 S, Salem, UT 84653-5653 | 2016-02-23 |
| 1073901773 | Robert Glen Rapp | Dental Hygienist | 2331 Crestview Dr S, Salem, OR 97302-5301 | 2015-01-03 |
| 1962805770 | Luann Gembala | Dental Hygienist | 1677 46th Pl Se, Salem, OR 97317-6672 | 2014-10-07 |
| Find all providers in SALEM | ||||
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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.