COLLEEN BERNICE YOAKUM (NPI# 1083184840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083184840 |
| Entity Type | Individual |
| Full Name | COLLEEN BERNICE YOAKUM |
| Credential | RDH |
| Practice Address |
14406 Ne 20th Ave Vancouver WA 98686-1448 |
| Mailing Address |
2908 Nw 93rd St Vancouver WA 98665-6184 |
| Practice Telephone | 8008132000 |
| Mailing Telephone | 3606061162 |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2018-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH00006663 | WA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | DENTAL HYGIENE LICENSE | DH00006663 | 01 |
| Street Address |
14406 NE 20TH AVE |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98686-1448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700889748 | Panagiotis Fourtounis | Specialist | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 | 2005-05-23 |
| 1821632944 | Aleksandra S Velychko | Dental Assistant | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 | 2019-10-31 |
| 1346892759 | Rebecca Olmsted | Dental Assistant | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 | 2019-07-15 |
| 1649759531 | Maxwell Daniel Gruber | Student in an Organized Health Care Education/Training Program | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 | 2018-08-10 |
| 1639656077 | Jeffrey Douglas Deyo | Pharmacist | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 | 2018-07-27 |
| 1962994350 | Scott Shattuck | Pharmacist | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 | 2018-06-01 |
| 1508318734 | Kaiser Foundation Health Plan of The Northwest | Dentist | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 | 2016-11-04 |
| 1265984249 | Kaiser Foundation Health Plan of The Northwest | General Practice | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 | 2016-10-26 |
| 1790160521 | Laurel Ann Staton-smith | Registered Nurse | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 | 2015-07-22 |
| 1730576901 | Joelle Osterhaus | Social Worker | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 | 2015-04-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154891117 | Dorota Bozena Barton | Speech-Language Pathologist | 2121 Ne 139th Street Mob A, Suite 200, Vancouver, WA 98686 | 2018-12-03 |
| 1881161818 | Michelle Wolfe | Dental Assistant | A101, 1484, 14313 Ne 20th Ave, Vancouver, WA 98686 | 2018-10-29 |
| 1306321237 | Rainier Springs Physician Group, LLC | General Practice | 2805 Ne 129th Street, Vancouver, WA 98686 | 2018-09-26 |
| 1801382387 | Kristopher K Kostenko | Dentist | 14201 Ne 20th Ave Ste A101, Vancouver, WA 98686 | 2018-07-08 |
| 1689164071 | Tegan Mills | Occupational Therapist | 7101 Ne 109th Street, Apt 64, Vancouver, WA 98686 | 2018-05-11 |
| 1164924122 | Kate Kristin Lawrence | Speech-Language Pathologist | 2215 Ne 104th St, Vancouver, WA 98686 | 2018-03-06 |
| 1437609567 | Elina Baranets | Registered Nurse | 14204 Ne Salmon Creek Avenue, Vancouver, WA 98686 | 2016-10-13 |
| 1386039550 | Sean Vikram Bhatia | Internal Medicine | Kaiser Salmon Creek, 14406 Ne 20th Ave, Vancouver, WA 98686 | 2015-04-03 |
| 1376988642 | Lindsay Hussey-andersen | Orthopaedic Surgery | 2525 Ne 139th St Ste 140, Vancouver, WA 98686 | 2013-05-01 |
| 1710253109 | Legacy Salmon Creek Hospital | Speech-Language Pathologist | 2121 Ne 139th St., Mob A, Ste 200, Vancouver, WA 98686 | 2012-03-29 |
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| 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 |
|---|---|---|---|---|
| 1053946673 | Jessica Maree Carnes | Dental Hygienist | 6505 Nw Cherry Street, Vancouver, WA 98663 | 2020-03-04 |
| 1891267860 | Ronita Smith | Dental Hygienist | 9506 Ne 161st Ave, Vancouver, WA 98682-1866 | 2019-01-01 |
| 1477088920 | Alexandra Ransonet | Dental Hygienist | 19111 Se 34th. St., Vancouver, WA 98683 | 2017-04-21 |
| 1124560545 | Shauna Weil | Dental Hygienist | 8909 Ne 136th Ave, Vancouver, WA 98682-3059 | 2016-11-16 |
| 1114478039 | Madeline Jean Larson | Dental Hygienist | 4205 Ne 130th Ave, Vancouver, WA 98682-6855 | 2016-10-14 |
| 1346608585 | Brittany Wilson | Dental Hygienist | 14013 Ne 31st Ct, Vancouver, WA 98686-2256 | 2016-02-03 |
| 1588022776 | Diane Hazell | Dental Hygienist | 2621 Ne 134th St Ste 300, Vancouver, WA 98686-3036 | 2016-02-03 |
| 1093173213 | Sara Frances Diaz | Dental Hygienist | 10617 Nw Lakeshore Ave, Vancouver, WA 98685-4766 | 2016-02-02 |
| 1003291527 | Jennifer Ficco | Dental Hygienist | 910 Ne Tenney Rd, Suite 117, Vancouver, WA 98685-2837 | 2015-07-27 |
| 1801271218 | Luiza Ghitea | Dental Hygienist | 17703 Ne 38th Way, Vancouver, WA 98682-3683 | 2015-07-27 |
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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.