ROBERTA JETER (NPI# 1235594623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235594623 |
| Entity Type | Individual |
| Full Name | ROBERTA JETER |
| Practice Address |
13146 W Newcastle Ln Beach Park IL 60083-3001 |
| Practice Telephone | 8479773044 |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2015-12-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 020010599 | IL | Dental Providers |
| Street Address |
13146 W NEWCASTLE LN |
| City | BEACH PARK |
| State | IL |
| Zip Code | 60083-3001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003336546 | Lauren Renee Bean | Behavioral Analyst | 18550 W Millburn Rd, Old Mill Creek, IL 60083 | 2017-06-26 |
| 1902296502 | Mary Roberson | Counselor | 39385 N Stockton Ln, Beach Park, IL 60083-3010 | 2015-02-03 |
| 1548624471 | David Londo | Specialist/Technologist | 39400 N Stockton Ln, Beach Park, IL 60083-3011 | 2016-04-06 |
| 1639658883 | Timberly Robinson | Social Worker | 13123 W Yorkshire Ln, Beach Park, IL 60083-3019 | 2018-08-08 |
| 1073140513 | Grishma V. Gandhi | Nurse Practitioner | 13100 W Yorkshire Ln, Beach Park, IL 60083-3020 | 2020-03-25 |
| 1699822460 | Allison Sheridan Myers | Speech-Language Pathologist | 12916 W Wakefield Dr, Beach Park, IL 60083-3040 | 2007-01-04 |
| 1548414048 | Sumer Porter | Developmental Therapist | 39649 N Warren Ln, Beach Park, IL 60083-3051 | 2008-11-11 |
| 1841490182 | Mary Ann Wiermanski | Psychologist | 39667 N Warren Lane, Beach Park, IL 60083-3051 | 2007-07-24 |
| 1649413642 | Jennifer Lynn Heuschmidt | Occupational Therapist | 39534 N Queensbury Ln, Beach Park, IL 60083-3055 | 2009-04-07 |
| 1750523072 | We Care Senior Caregiver Services, Inc. | Home Health | 13075 W Bucksburn Ct, Beach Park, IL 60083-3210 | 2009-04-01 |
| Find all providers in zip 60083 | ||||
| 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 |
|---|---|---|---|---|
| 1457950891 | Laura Jean Baus | Dental Hygienist | 519 E Bode Rd, Streamwood, IL 60107-6897 | 2020-10-17 |
| 1972114551 | Chelsea R Black | Dental Hygienist | 428 N 8th St, Auburn, IL 62615-1006 | 2020-08-16 |
| 1912518150 | Nicole Lynn Connell | Dental Hygienist | 204 Hwy 164 East, Oquawka, IL 61469 | 2020-08-12 |
| 1073122016 | Ann Frederickson | Dental Hygienist | 9851 S Homan Ave, Evergreen Park, IL 60805-3041 | 2020-07-27 |
| 1588289805 | Joy Lantz | Dental Hygienist | 16335 Harlem Ave Ste 422, Tinley Park, IL 60477-2877 | 2020-06-11 |
| 1740805381 | Goran Lazic | Dental Hygienist | 109 Annapolis Dr, Vernon Hills, IL 60061-2057 | 2020-06-09 |
| 1568085991 | Amy Lappin | Dental Hygienist | 335 Hidden Creek Rd, Lake Zurich, IL 60047-7116 | 2020-05-20 |
| 1114540630 | Krista M Walsh | Dental Hygienist | 890 Brookforest Ave Unit D, Shorewood, IL 60404-8838 | 2020-05-19 |
| 1881214658 | Sherri Foran | Dental Hygienist | 127 60th St, Downers Grove, IL 60516-2038 | 2020-04-22 |
| 1124666573 | Katherine Lynn Leiva | Dental Hygienist | 1791 Dempsey Cir, Pingree Grove, IL 60140-8019 | 2019-12-17 |
| Find all providers with the same taxonomy | ||||
| City | BEACH PARK |
| Zip Code | 60083 |
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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.