MS. PRISCILLA ANTONIO (NPI# 1215186820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215186820 |
| Entity Type | Individual |
| Full Name | MS. PRISCILLA ANTONIO |
| Credential | DA |
| Practice Address |
516 Nizhoni Blvd Gallup NM 87301-5748 |
| Mailing Address |
Po Box 1337 Gallup NM 87305-1337 |
| Practice Telephone | 5057221000 |
| Practice Fax Number | 5057221565 |
| Mailing Telephone | 5057221000 |
| Mailing Fax Number | 5057221565 |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2008-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | Dental Providers |
| Street Address |
516 NIZHONI BLVD |
| City | GALLUP |
| State | NM |
| Zip Code | 87301-5748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689670861 | Michael Davis | Optometrist | 516 Nizhoni Blvd, Department 18, Gallup, NM 87301-5748 | 2005-06-22 |
| 1083161509 | Denice Bobelu | Registered Nurse | 516 Nizhoni Blvd, Gallup, NM 87301 | 2016-09-01 |
| 1730438912 | Natasha Renee Sellers | Registered Nurse | 516 Nizhoni Blvd, Gallup, NM 87301-1337 | 2012-09-05 |
| 1003184201 | Nancy Davis | Registered Nurse | 516 Nizhoni Blvd, Gallup, NM 87301-5748 | 2011-12-02 |
| 1760788012 | Diana D Chavez | Registered Nurse | 516 Nizhoni Blvd, Gallup, NM 87301-5748 | 2011-02-03 |
| 1649576232 | Linda Lovell | Registered Nurse | 516 Nizhoni Blvd, Gallup, NM 87301-5748 | 2011-01-31 |
| 1871898692 | Patricia Bialach | Registered Nurse | 516 Nizhoni Blvd, Gallup, NM 87301-5748 | 2011-01-26 |
| 1861797052 | Elizabeth A Verostko | Registered Nurse | 516 Nizhoni Blvd, Gallup, NM 87301-5748 | 2011-01-19 |
| 1457656191 | Lisa Marie Shaurette | Registered Nurse | 516 Nizhoni Blvd, Gallup, NM 87301-5748 | 2011-01-11 |
| 1003110537 | Sally Catherine Kaufman | Registered Nurse | 516 Nizhoni Blvd, Gallup, NM 87301-5748 | 2010-12-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966141 | Karen Marie Acuesta Arboleda | Registered Nurse | 516 E Nizhoni Bld., Gallup, NM 87301 | 2019-11-13 |
| 1811453707 | Kelly Dahn | Respiratory Therapist, Certified | 516 E Hizhoni Blvd, Gallup, NM 87301 | 2019-02-15 |
| 1417411232 | Frances Griego | Registered Nurse | 28b Alma Drive, Gallup, NM 87301 | 2019-01-25 |
| 1891267605 | Hozho Academy | Occupational Therapist | 306 Nm-564, Gallup, NM 87301 | 2018-12-19 |
| 1922514686 | Jjdac, LLC | Ambulance | 208 W Maloney Ave, Gallup, NM 87301 | 2017-12-18 |
| 1508382698 | Katherine L Kuehl | Pharmacist | Walgreens 1870 E Historic Highway 66, Galliup, NM 87301 | 2017-08-21 |
| 1497285001 | Jessica Kate Savant | Registered Nurse | 516 E Nazhoni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1770013385 | Nicole Aline Pavy | Registered Nurse | 516 E. Nizhioni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1730612276 | Camie Renee Nelson | Contractor | 121 Bishop Drive, Gallup, NM 87301 | 2017-04-11 |
| 1508216227 | Marriah Silversmith | Technician, Other | 3426 Blue Hill Ave, Gallup, NM 87301 | 2016-06-14 |
| Find all providers in zip 87301 | ||||
| Taxonomy Code | 126800000X |
| Grouping | Dental Providers |
| Classification | Dental Assistant |
| An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598144255 | Jessica Young | Dental Assistant | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2015-05-27 |
| 1801123559 | Vickie Becenti | Dental Assistant | 516 East Nizhoni Blvd, Gallup, NM 87301-1337 | 2009-11-17 |
| 1336399088 | Valina Chee | Dental Assistant | 516 E. Nizhoni Blvd, Gallup, NM 87301-1337 | 2008-09-30 |
| 1245480995 | Olive Pino | Dental Assistant | 516 E. Nizhoni Blvd, Gallup, NM 87301-1337 | 2008-09-30 |
| 1649420662 | Miranda L. Garcia | Dental Assistant | 516 Nizhoni Blvd, Gallup, NM 87301-5748 | 2008-09-26 |
| 1508015199 | Maxine Johnson | Dental Assistant | 516 Nizhoni Blvd, Gallup, NM 87301-5748 | 2008-09-18 |
| 1467601021 | Roxanne Rae Newood | Dental Assistant | 516 Nizhoni Blvd, Gallup, NM 87301-5748 | 2008-09-18 |
| 1235388851 | Danielle J. Henio | Dental Assistant | 516 Nizhoni Blvd, Gallup, NM 87301-5748 | 2008-09-18 |
| 1194974709 | Lula Curley | Dental Assistant | 516 Nizhoni Blvd, Gallup, NM 87301-5748 | 2008-09-18 |
| 1194974725 | Barbara A Smith | Dental Assistant | 516 Nizhoni Blvd, Gallup, NM 87301-5748 | 2008-09-18 |
| Find all providers in GALLUP | ||||
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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.