THERESE SULLIVAN (NPI# 1134463037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134463037 |
| Entity Type | Individual |
| Full Name | THERESE SULLIVAN |
| Credential | RDH |
| Practice Address |
422 E Douglas St Oneill NE 68763-1852 |
| Practice Telephone | 4023362406 |
| Practice Fax Number | 4023361768 |
| Mailing Telephone | 4023362406 |
| Mailing Fax Number | 4023361768 |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 421 | NE | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518191907 | Therese Sullivan | Specialist | 15802 Cedar Ridge Ct, Granger, IN 46530-6516 | 2009-05-13 |
| 1629265251 | Therese Eileen Sullivan | Physician Assistant | 47 Brookside Dr, Lemont, IL 60439-7709 | 2007-09-27 |
| Street Address |
422 E DOUGLAS ST |
| City | ONEILL |
| State | NE |
| Zip Code | 68763-1852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528302429 | North Central District Health Department | Public Health or Welfare | 422 E Douglas St, Oneill, NE 68763-1852 | 2012-11-15 |
| 1447803614 | Midtown Health Center, Inc. | Clinic/Center | 422 E Douglas St, Oneill, NE 68763-1852 | 2019-07-17 |
| 1639413545 | Rebecca Benson | Dental Hygienist | 422 E Douglas St, Oneill, NE 68763-1852 | 2012-11-15 |
| 1760726673 | Diane Alden | Dental Hygienist | 422 E Douglas St, Oneill, NE 68763-1852 | 2012-11-15 |
| 1376887281 | Amy Tejral | Dental Hygienist | 422 E Douglas St, Oneill, NE 68763-1852 | 2012-11-15 |
| 1194069005 | Kelly Wiebelhaus | Dental Hygienist | 422 E Douglas St, Oneill, NE 68763-1852 | 2012-11-15 |
| 1033453931 | Jennifer Osborne | Dental Hygienist | 422 E Douglas St, Oneill, NE 68763-1852 | 2012-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215418629 | Holly C Young | Occupational Therapy Assistant | 300 N. 2nd St., O'neill, NE 68763 | 2018-08-23 |
| 1962919472 | O'neill Senior Living, LLC | Alzheimer Center (Dementia Center) | 1203 E Hynes Ave., Oneill, NE 68763 | 2018-01-05 |
| 1275999500 | Nicole Rae Kemp | Public Health or Welfare | 422 E Douglas St., O'neill, NE 68763 | 2015-12-31 |
| 1215023783 | Julie Kay Davis | Nurse Anesthetist, Certified Registered | 2nd and Adams, O'neill, NE 68763 | 2006-10-04 |
| 1043302490 | Jessica A Clark | Counselor | 300 N 2nd St Ste 100, Oneill, NE 68763 | 2006-09-29 |
| 1447739040 | Jewel Swanson | Counselor | 221 W Douglas St, Oneill, NE 68763 | 2018-08-14 |
| 1902209414 | Sara K. Frederick | Physician Assistant | 300 N 2nd St, Suite 100, Oneill, NE 68763 | 2014-09-29 |
| 1477991784 | Kacindra Jo Kopf | Nurse Practitioner | 304 E Douglas St, Oneill, NE 68763 | 2013-06-08 |
| 1497817241 | Gutshall & Kohle Eyecare LLC | Optometrist | 214 N 10th St, Oneill, NE 68763 | 2006-12-15 |
| 1447601976 | Jessen's Family Dentistry and Dental Hygiene, P.c | Dentist | 126 N 5th Street, Oneill, NE 68763-0815 | 2016-06-27 |
| Find all providers in zip 68763 | ||||
| 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 |
|---|---|---|---|---|
| 1851694467 | Amie Anne Dawson | Dental Hygienist | 87475 Highway 281, Oneill, NE 68763-4648 | 2010-12-21 |
| 1639413545 | Rebecca Benson | Dental Hygienist | 422 E Douglas St, Oneill, NE 68763-1852 | 2012-11-15 |
| 1760726673 | Diane Alden | Dental Hygienist | 422 E Douglas St, Oneill, NE 68763-1852 | 2012-11-15 |
| 1376887281 | Amy Tejral | Dental Hygienist | 422 E Douglas St, Oneill, NE 68763-1852 | 2012-11-15 |
| 1194069005 | Kelly Wiebelhaus | Dental Hygienist | 422 E Douglas St, Oneill, NE 68763-1852 | 2012-11-15 |
| 1033453931 | Jennifer Osborne | Dental Hygienist | 422 E Douglas St, Oneill, NE 68763-1852 | 2012-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932714052 | Cherrell T Rogers | Dental Hygienist | 4229 N 90th St Ste 103, Omaha, NE 68134-4136 | 2020-09-15 |
| 1831703362 | Kelli Leigh Kuhlenengel | Dental Hygienist | 2115 14th St Ste 200, Auburn, NE 68305-1760 | 2020-09-02 |
| 1588209308 | Hannah Randell | Dental Hygienist | 550 Technical Blvd, Hastings, NE 68901-8362 | 2019-11-15 |
| 1255892147 | Marina Titov | Dental Hygienist | 4200 Lucile Dr Ste 100, Lincoln, NE 68506-6032 | 2019-03-25 |
| 1639639701 | Shirlette A Hershiser | Dental Hygienist | 4200 Lucile Dr, Lincoln, NE 68506-6028 | 2019-03-23 |
| 1053875039 | Kesiah Elise Pulliam | Dental Hygienist | 9940 N Landing Trl, Elm Creek, NE 68836-8058 | 2019-01-24 |
| 1962975441 | Blair L Krska | Dental Hygienist | 306 S 4th St Ste 100, Seward, NE 68434-2533 | 2019-01-07 |
| 1033681689 | Kara Lilienthal | Dental Hygienist | 6110 S 191st St, Omaha, NE 68135-4272 | 2018-12-20 |
| 1942771423 | Melanie Rose Gardels | Dental Hygienist | 601 N St. Joseph Ave, Hastings, NE 68901 | 2018-12-10 |
| 1114494887 | Lisa Seaman | Dental Hygienist | 425 N Diers Ave Ste 3, Grand Island, NE 68803-4910 | 2018-10-30 |
| Find all providers with the same taxonomy | ||||
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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.