SONICA NATISSIA ANSERELLO (NPI# 1205249141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205249141 |
| Entity Type | Individual |
| Full Name | SONICA NATISSIA ANSERELLO |
| Credential | RDH |
| Practice Address |
1708 E 44th St Tacoma WA 98404-4611 |
| Practice Telephone | 2535727002 |
| Practice Fax Number | 2535932854 |
| Mailing Telephone | 2535727002 |
| Mailing Fax Number | 2535932854 |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2014-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH60240421 | WA | Dental Providers |
| Street Address |
1708 E 44TH ST |
| City | TACOMA |
| State | WA |
| Zip Code | 98404-4611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407847072 | Cheri Dunham | Dentist | 1708 E 44th St, Tacoma, WA 98404-4611 | 2005-11-02 |
| 1619435047 | Leema Singh | Pharmacist | 1708 E 44th St, Tacoma, WA 98404-4611 | 2019-03-05 |
| 1003372921 | Julie Ann Hills | Registered Nurse | 1708 E 44th St, Tacoma, WA 98404-4611 | 2019-02-15 |
| 1154809671 | Casey Lynn Unruh | Registered Nurse | 1708 E 44th St, Tacoma, WA 98404-4611 | 2018-08-06 |
| 1548793490 | Sarah Vogel | Registered Nurse | 1708 E 44th St, Tacoma, WA 98404-4611 | 2017-04-07 |
| 1215478235 | Andrea Napenias | Registered Nurse | 1708 E 44th St, Tacoma, WA 98404-4611 | 2017-03-09 |
| 1134669732 | Aleksandr Borishkevich | Physician Assistant | 1708 E 44th St, Tacoma, WA 98404-4611 | 2017-03-01 |
| 1730635830 | Jessica Schooley | Counselor | 1708 E 44th St, Tacoma, WA 98404-4611 | 2016-08-29 |
| 1427442045 | Laura Sequeira | Case Manager/Care Coordinator | 1708 E 44th St, Tacoma, WA 98404-4611 | 2015-03-20 |
| 1922491034 | Community Health Care | Case Management | 1708 E 44th St, Tacoma, WA 98404-4611 | 2015-03-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386169829 | Brianna Lee Brown | Nurse's Aide | 1020 South 76th Street, Tacoma, WA 98404 | 2017-08-05 |
| 1770981045 | Tra My Thi Nguyen | Pharmacist | 4614 E N St, Tacoma, WA 98404 | 2014-12-18 |
| 1720419161 | Amber Gilderoy | Massage Therapist | 1101 E 56th St, Tacoma, WA 98404 | 2013-12-11 |
| 1295083756 | Stacy Marie Klontz | Physical Therapy Assistant | 1649 East 72nd St., Tacoma, WA 98404 | 2012-08-15 |
| 1215239892 | Kimberly Ida Sterling | Dental Hygienist | 247 E. 68th St., Tacoma, WA 98404 | 2010-12-02 |
| 1982923926 | Emily C Parry | Occupational Therapy Assistant | 1649 East 72nd Street, Tacoma, WA 98404 | 2010-05-28 |
| 1427386465 | Carole Lynne Hopkins | Physical Therapist | 1649 East 72nd St, Tacoma, WA 98404 | 2009-12-03 |
| 1417016056 | Jennifer Anne Decoteau | Social Worker | 2209 East 32nd St, Tacoma, WA 98404 | 2006-12-08 |
| 1518032374 | Agnes Barbara Kocsis | Psychiatry & Neurology | 2209 E.32nd Str, Tacoma, WA 98404 | 2006-11-21 |
| 1912924366 | Marthe Butzen | Physician Assistant | 1708 E. 44th Street, Tacoma, WA 98404 | 2006-07-15 |
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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 |
|---|---|---|---|---|
| 1477022069 | Deborah Anne Logan | Dental Hygienist | North Division Street Bldg 2103, Tacoma, WA 98431-0001 | 2018-11-13 |
| 1205325966 | Gloria Judith Penate I | Dental Hygienist | 2103 North Division Street, Tacoma, WA 98433 | 2018-05-08 |
| 1801301528 | Shannon Lee Bowerman | Dental Hygienist | 4901 Fairwood Blvd Ne Apt 75, Tacoma, WA 98422-2121 | 2017-12-04 |
| 1447760442 | Kimberly Merle Todd | Dental Hygienist | S 14th Street and Railroad Avenue, Building # 3740p, Tacoma, WA 98433 | 2017-10-04 |
| 1558889931 | Katherine Joanne Tarabochia | Dental Hygienist | North Divisionst Bldg 210-3p, Tacoma, WA 98431-0001 | 2017-09-06 |
| 1003332677 | Lindsey Wisdom | Dental Hygienist | Bldg 9119 Mil Park Ave, Tacoma, WA 98433 | 2017-08-16 |
| 1467977215 | Anthony Booker | Dental Hygienist | 6137 S Cushman Ave, Tacoma, WA 98408-2352 | 2017-08-12 |
| 1518319417 | Rosemary E Garvey | Dental Hygienist | N Division St Bldg 2103, Tacoma, WA 98431-1100 | 2016-07-05 |
| 1356791057 | Shannon Mullins | Dental Hygienist | Jblm, Building 9119 Mil Park Ave., Tacoma, WA 98431-0001 | 2016-06-14 |
| 1639529340 | Shannon Walker | Dental Hygienist | Mil Park Ave Bldg 9119, Tacoma, WA 98431-0001 | 2016-06-14 |
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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.