KIMBERLY ANN BRASIL


Address: 9663 Old Redwood Hwy, Penngrove, CA 94951-9610
Phone: 7075482789

KIMBERLY ANN BRASIL (NPI# 1083112221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083112221
Entity Type Individual
Full Name KIMBERLY ANN BRASIL
Practice Address 9663 Old Redwood Hwy
Penngrove
CA 94951-9610
Practice Telephone 7075482789
Enumeration Date 2018-01-23
Last Update Date 2018-01-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist HAP669 CA Dental Providers

Office Location

Street Address 9663 OLD REDWOOD HWY
City PENNGROVE
State CA
Zip Code 94951-9610

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NPI Name Taxonomy Address Enumeration
1639783848 Christina N Wallace Massage Therapist 308 Oak Street, Penngrove, CA 94951 2020-09-04
1922126689 Regina Ann Wilson-seppa Specialist 730 Goodwin Ave, Penngrove, CA 94951-8623 2007-03-27
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1740673748 Alexander Edward Perrotti Marriage & Family Therapist 3450 Lichau Rd, Penngrove, CA 94951-8720 2015-03-15
1053382911 Robert Rowen Herzog Physical Therapist 8690 Petaluma Hill Rd, Penngrove, CA 94951-8734 2006-01-30
1467416743 Donald Minor Specialist 4960 Rebecca Dr, Penngrove, CA 94951-9519 2006-04-13
1689080194 Edward Rosen Physical Therapist 6575 Eagle Ridge Rd, Penngrove, CA 94951-9575 2014-07-03
1356458541 Alexandra Advocate Marriage & Family Therapist 10864 Minnesota Ave, Penngrove, CA 94951-9617 2006-08-24
1043628829 Stephen Smith Counselor 520 Orchard Ln, Penngrove, CA 94951-9659 2014-07-24
1144857475 Natalie Diane Hole Speech-Language Pathologist 1379 Dutch Ln, Penngrove, CA 94951-9718 2020-03-25
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Taxonomy Information

Taxonomy Code 124Q00000X
Grouping Dental Providers
Classification Dental Hygienist

Taxonomy Definition

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.

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Competitor

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City PENNGROVE
Zip Code 94951

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Dataset Information

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.

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