PATRICIA DEQUARDO (NPI# 1225549066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225549066 |
Entity Type | Individual |
Full Name | PATRICIA DEQUARDO |
Other Name | PATRICIA DEQUARDO |
Credential | RDH |
Practice Address |
2906 S 20th St Milwaukee WI 53215-3732 |
Practice Telephone | 4148975434 |
Mailing Telephone | 4148975434 |
Enumeration Date | 2017-10-19 |
Last Update Date | 2017-10-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | 10693-16 | WI | Dental Providers |
Street Address |
2906 S 20TH ST |
City | MILWAUKEE |
State | WI |
Zip Code | 53215-3732 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144225871 | Emilia Isabel Arana | Pediatrics | 2906 S 20th St, Milwaukee, WI 53215-3732 | 2005-06-17 |
1558976910 | Angela M Aviles-soto | Registered Nurse | 2906 S 20th St, Milwaukee, WI 53215-3732 | 2020-09-12 |
1376161471 | Ivonne Rosado | Nurse Practitioner | 2906 S 20th St, Milwaukee, WI 53215-3732 | 2020-07-06 |
1609426956 | Aja Nicole Aviles-soto | Advanced Practice Midwife | 2906 S 20th St, Milwaukee, WI 53215-3732 | 2019-09-18 |
1720640329 | Sharais Alvarado | Counselor | 2906 S 20th St, Milwaukee, WI 53215-3732 | 2019-07-03 |
1164994497 | Margaret E Gonzalez | Social Worker | 2906 S 20th St, Milwaukee, WI 53215-3732 | 2018-12-27 |
1790276517 | Esmeralda Robelo Campos | Physician Assistant | 2906 S 20th St, Milwaukee, WI 53215-3732 | 2018-05-29 |
1982194700 | Diane Colette Kothera | Dental Hygienist | 2906 S 20th St, Milwaukee, WI 53215-3732 | 2018-05-16 |
1144742750 | Anna M Guerrero | Nurse Practitioner | 2906 S 20th St, Milwaukee, WI 53215-3732 | 2017-07-14 |
1568847986 | Sana Mazher | Internal Medicine | 2906 S 20th St, Milwaukee, WI 53215-3732 | 2015-07-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841829918 | Joshua Michael Brooks | Student in an Organized Health Care Education/Training Program | Aurora St. Lukes Medical Center 2901 W Oklahoma Ave, Milwaukee, WI 53215 | 2020-04-02 |
1053967091 | Kristina Strupp | Clinical Nurse Specialist | 2900 W. Oaklahoma Avenue, Milwaukee, WI 53215 | 2019-08-15 |
1427510296 | Madelyn Pickle | Student in an Organized Health Care Education/Training Program | 2801 W. Kinnickinnic Rd Ste 250, Milwaukee, WI 53215 | 2019-04-02 |
1932601838 | Elizabeth D Morawski | Nurse Practitioner | 2801 Kinnickinnic Parkway, Suite 630, Milwaukee, WI 53215 | 2018-03-06 |
1457872673 | Canzata Kimberly Dent | Counselor | 2727 W. Cleveland Suite 204, Milwaukee, WI 53215 | 2017-06-28 |
1538689955 | Christian Pena | Durable Medical Equipment & Medical Supplies | 2800 W Forest Home Ave, Suite 100, Milwaukee, WI 53215 | 2017-06-27 |
1386178804 | Dane A Olsen | Family Medicine | 801 W Kinnickinnic River Pkwy., Suite 250, Milwaukee, WI 53215 | 2017-04-12 |
1811443492 | Thomas Diamond | Physical Therapist | 2901 Kinnickinnic Parkway, Milwaukee, WI 53215 | 2016-09-01 |
1487055133 | Sam Khalili | Otolaryngology | 2801 W Kinnickinnic River Pkwy # 680, Milwaukee, WI 53215 | 2014-09-12 |
1992105621 | Nicole R Hall | Nurse Practitioner | 2901 S Kinnickinnic Ave, Milwaukee, WI 53215 | 2014-08-29 |
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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 |
---|---|---|---|---|
1760850614 | Michelle Boettcher | Dental Hygienist | 2552 S Brisbane Ave, Milwaukee, WI 53207-1502 | 2015-09-09 |
1093110058 | Florina Pinskaya | Dental Hygienist | 4302 N 76th St, Milwaukee, WI 53222-2004 | 2014-11-01 |
1699192948 | Elizabeth S Dietzler | Dental Hygienist | 4619 W Blue Mound Ct, Milwaukee, WI 53208-3607 | 2014-03-25 |
1508188764 | Oleesa Shapowal | Dental Hygienist | 1730 S 13th St, Milwaukee, WI 53204-3201 | 2010-02-15 |
1033360763 | Kory Pilkington | Dental Hygienist | 1308 S. Cesar Chavez Drive, Milwaukee, WI 53204-0408 | 2008-09-30 |
1477725786 | Gina L Tolson | Dental Hygienist | 2669 N 92nd St, Milwaukee, WI 53226-1800 | 2008-03-26 |
1215020128 | Sharon Wildes | Dental Hygienist | Milwaukee Vamc Dental Clinic, 5000 National Ave, Milwaukee, WI 53295-0001 | 2006-10-02 |
1255360632 | Carol Lynn Bright | Dental Hygienist | 1135 South Cesar Chavez Drive, Milwaukee, WI 53204 | 2006-06-30 |
1790781185 | Michele Straetz | Dental Hygienist | 2306 S Kinnickinnic Ave, Milwaukee, WI 53207-1626 | 2005-06-22 |
1336748516 | Amber M Randle | Dental Hygienist | 1730 S 13th St, Milwaukee, WI 53204-3201 | 2020-10-20 |
Find all providers in MILWAUKEE |
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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.