KATHERINE E BERRY (NPI# 1194834242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194834242 |
| Entity Type | Individual |
| Full Name | KATHERINE E BERRY |
| Credential | RDH |
| Practice Address |
12000 Stone Lake Rd Jicarilla Apache Health Care Facility, Ihs Dulce NM 87528-0000 |
| Mailing Address |
Po Box 220 Dulce NM 87528-0220 |
| Practice Telephone | 5757593291 |
| Practice Fax Number | 5757593651 |
| Mailing Telephone | 5757590062 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2008-06-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 532 | WY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 000K3526 | 05 | |
| NM | MEDICARE PART B | HSZ196 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356601116 | Katherine Berry | Occupational Therapist | 2521 Se Linden Pl, Milwaukie, OR 97222-8172 | 2012-05-25 |
| 1114579281 | Katherine Lin Berry | Student in an Organized Health Care Education/Training Program | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2019-07-09 |
| 1326578998 | Katherine Michelle Berry | Student in an Organized Health Care Education/Training Program | 355 W 16th St Ste 5100, Indianapolis, IN 46202-2274 | 2017-06-15 |
| 1225567092 | Katherine A Berry | Student in an Organized Health Care Education/Training Program | 2501 N 3rd St Fl 2, Harrisburg, PA 17110-1904 | 2017-06-06 |
| 1336295872 | Katherine Berry | Genetic Counselor, MS | 2755 Colonial Dr, Helena, MT 59601-4926 | 2007-01-26 |
| 1457434201 | Katherine Mary Berry | Physical Therapist | 99 N Brice Rd, Suite 240, Columbus, OH 43213-6510 | 2006-10-23 |
| Street Address |
12000 STONE LAKE RD JICARILLA APACHE HEALTH CARE FACILITY, IHS |
| City | DULCE |
| State | NM |
| Zip Code | 87528-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508832791 | Kristine S Williams | Dietitian, Registered | 12000 Stone Lake Rd, Dulce Health Center, Dulce, NM 87528 | 2006-02-27 |
| 1710210455 | Carolyn Lieb | Pharmacy Technician | 12000 Stone Lake Rd, Dulce, NM 87528-0187 | 2009-09-14 |
| 1124220900 | Jicarilla Ihs Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 12000 Stone Lake Rd, Dulce, NM 87528 | 2007-06-04 |
| 1598985798 | John E Shumack | Pharmacist | 12000 Stone Lake Rd, Dulce, NM 87528 | 2007-04-27 |
| 1922178359 | Robert Patrick Sewell | Dentist | 12000 Stone Lake Rd, Dulce, NM 87528 | 2006-11-09 |
| 1346326600 | Jicarilla Apache Health Care Facility | Clinic/Center | 12000 Stone Lake Rd, Dulce, NM 87528-0187 | 2006-10-30 |
| 1427160282 | Susan Frances Donlon | Registered Nurse | 12000 Stone Lake Rd, Dulce, NM 87528 | 2006-08-31 |
| 1255347043 | Gaylia Dianne Pride | Registered Nurse | 12000 Stone Lake Rd, Dulce, NM 87528 | 2006-07-31 |
| 1003820069 | Jicarilla Health Care Facility | Clinic/Center | 12000 Stone Lake Rd, Dulce, NM 87528 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164917373 | Kelly Rae Pettigrew | Optometrist | 505 North Mundo, Dulce, NM 87528 | 2018-06-29 |
| 1780003442 | Jacob Alexander | Preventive Medicine | 500 N. Mundo, Dulce, NM 87528 | 2014-04-09 |
| 1881020089 | Jicarilla Apache Nation | Clinic/Center | 450 N Mundo Dr., Dulce, NM 87528 | 2013-09-19 |
| 1285971515 | Samuel Taylor Cropp | Pharmacist | 500 N Mundo Dr, Dulce, NM 87528 | 2013-01-07 |
| 1720331697 | Northwest Reional Education Coop #2 | Student in an Organized Health Care Education/Training Program | 91 Hawk Drive, Dulce, NM 87528 | 2012-10-17 |
| 1306116066 | Michael Shawn Kennedy | Psychologist | 113 Hawk Dr, Dulce, NM 87528 | 2012-01-11 |
| 1669762043 | Veronica A Medlin | Technician, Pathology | 1200 Stone Lake Rd, Dulce, NM 87528 | 2011-04-19 |
| 1891085262 | Stella Elizabeth Wilson | Spec/Tech, Pathology | 500 Stone Lake Road, Dulce, NM 87528 | 2011-04-19 |
| 1134419518 | Ray Morris Joe | Technician, Pathology | 500 North Mundo Road, Dulce, NM 87528 | 2011-04-19 |
| 1801186341 | Raquel Irene Cisneros | Family Medicine | 500 N. Mundo Dr., Dulce, NM 87528 | 2011-04-18 |
| Find all providers in zip 87528 | ||||
| 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 |
|---|---|---|---|---|
| 1760554695 | Ann Marie Toledo | Dental Hygienist | 12000 Stone Lake Road, Dulce, NM 87528-0187 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940787 | Carrie Boehm | Dental Hygienist | 2844 E Main St Ste 106-145, Farmington, NM 87402-5260 | 2020-10-16 |
| 1205450939 | Aislinn B Grover | Dental Hygienist | Indian Service Rte 140 & Indian Service Route 125, Pinehill, NM 87357 | 2020-05-28 |
| 1669095188 | Julie Arneson | Dental Hygienist | 11 Sacred Vista Rd, El Prado, NM 87529 | 2020-05-19 |
| 1013540848 | Kelsi Marie Hartwig | Dental Hygienist | Highway 491 North, Yucca Street, Shiprock, NM 87420 | 2020-02-20 |
| 1841839099 | Naomi Lynn Amador | Dental Hygienist | 105 Golf Dr, Clovis, NM 88101-3145 | 2020-01-04 |
| 1972061539 | Mary Hilley | Dental Hygienist | 33 General Sage Dr, Santa Fe, NM 87505-6397 | 2019-03-03 |
| 1568930782 | Janelle K Mancha | Dental Hygienist | 9527 Night Sky Ln Ne, Albuquerque, NM 87122-1252 | 2018-11-06 |
| 1063988301 | Sarah Adele Sisneros | Dental Hygienist | 333 San Mateo Blvd Se Ste A, Albuquerque, NM 87108-2919 | 2018-10-14 |
| 1356825186 | Roberta Rodriguez | Dental Hygienist | 15136 St Hwy 75, Penasco, NM 87553 | 2018-09-18 |
| 1285125658 | Alicia T Medrano | Dental Hygienist | 1105 Golf Course Rd Se Bldg A, Rio Rancho, NM 87124-4733 | 2018-05-22 |
| 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.