KAITLYN MICHELLE WILSON (NPI# 1255829198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255829198 |
| Entity Type | Individual |
| Full Name | KAITLYN MICHELLE WILSON |
| Credential | DA |
| Practice Address |
6323 N Fresno St Ste 101 Fresno CA 93710-5282 |
| Practice Telephone | 5594392307 |
| Mailing Telephone | 5594392307 |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2018-04-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | RA86061 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194367888 | Kaitlyn Marie Wilson | Occupational Therapist | 900 Orchid Springs Dr, Winter Haven, FL 33884-3656 | 2019-10-14 |
| 1588219430 | Kaitlyn Carol Wilson | Case Manager/Care Coordinator | 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124-3550 | 2019-08-07 |
| 1477048239 | Kaitlyn Marie Wilson | Social Worker | 108 Belmont St, Worcester, MA 01605-4902 | 2018-06-25 |
| 1144778689 | Kaitlyn Wilson | Physical Therapist | 17650 140th Ave Se Ste B7, Renton, WA 98058-6814 | 2016-09-13 |
| 1164606216 | Kaitlyn Page Wilson | Speech-Language Pathologist | 2225 Old Emmorton Road, Suite 210, Bel Air, MD 21015 | 2007-12-26 |
| Street Address |
6323 N FRESNO ST STE 101 |
| City | FRESNO |
| State | CA |
| Zip Code | 93710-5282 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801457957 | Isabel Hernandez | Dental Assistant | 6323 N Fresno St Ste 101, Fresno, CA 93710-5282 | 2019-06-27 |
| 1992260236 | Brittany Nicole Standridge | Dental Assistant | 6323 N Fresno St Ste 101, Fresno, CA 93710-5282 | 2019-01-31 |
| 1144785478 | Jessica Flores | Dental Assistant | 6323 N Fresno St Ste 101, Fresno, CA 93710-5282 | 2019-01-31 |
| 1093289902 | Lauryn Elizabeth Gresham | Dental Assistant | 6323 N Fresno St Ste 101, Fresno, CA 93710-5282 | 2019-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184240384 | Patsy Joan Perry | Counselor | Quality Family Services - Sample House, 643 E. Sample Avenue, Fresno, CA 93710 | 2020-06-23 |
| 1831739853 | Blanca Stephanie Millan | Counselor | 1300 E Shaw Ave Suite 172, Fresno, CA 93710 | 2020-01-07 |
| 1679115737 | Abel Luis Flores | Physical Therapy Assistant | 5556 N Fresno St, 5555 N Fresno St, Fresno, CA 93710 | 2019-10-10 |
| 1316408933 | Simranjit Kaur Mann | Behavioral Analyst | 5180 North Primitivo Way Appt #363, Fresno, CA 93710 | 2019-03-27 |
| 1093274169 | Aleajndra Bedolla Alcantar | Behavior Technician | 1320 East Shaw Ave, #110, Fresno, CA 93710 | 2019-03-18 |
| 1790244960 | Alondra Martinez | Behavior Technician | 1320 East Shaw Ave #110, Fresno, CA 93710 | 2019-03-18 |
| 1235698622 | Irma Joselyn Castro | Behavior Technician | 1320 East Shaw Ave # 110, Fresno, CA 93710 | 2019-03-15 |
| 1619433711 | Beacon Dental Group | Dentist | 6099 N. First Ste Ste 102, Fresno, CA 93710 | 2019-02-13 |
| 1265909394 | Pathana Phonesy | Behavior Technician | 5363 N. Fresno St., Suite 105, Fresno, CA 93710 | 2018-10-26 |
| 1376030080 | Jane F Kardashian Md Inc | Non-Pharmacy Dispensing Site | 6769 N Fresno, Fresno, CA 93710 | 2018-04-18 |
| Find all providers in zip 93710 | ||||
| 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 |
|---|---|---|---|---|
| 1376003780 | Amanda Pacheco | Dental Assistant | 1885 E Alluvial Ave Ste 102, Fresno, CA 93720-3857 | 2019-03-21 |
| 1457817462 | Geraldine Carina Castro | Dental Assistant | 7761 N Ingram Ave Ste 104, Fresno, CA 93711-6282 | 2019-02-14 |
| 1851855886 | Araceli J Ruiz | Dental Assistant | 1275 W Shaw Ave, Fresno, CA 93711-3710 | 2019-01-23 |
| 1689145369 | Lindsay Michelle Constant | Dental Assistant | 4220 W Figarden Dr # 101, Fresno, CA 93722-6025 | 2018-12-06 |
| 1184103574 | Yolanda Maria Roach | Dental Assistant | 2555 N Millbrook Ave, Fresno, CA 93703-1922 | 2018-08-07 |
| 1427547975 | Belinda Marie Becerra | Dental Assistant | 7761 N Ingram Ave Ste 101, Fresno, CA 93711-6281 | 2018-05-09 |
| 1295178234 | Adrianna Vasquez | Dental Assistant | 7041 N Weber Ave, Fresno, CA 93722-9736 | 2013-04-09 |
| 1235461203 | Greta Macias | Dental Assistant | 6713 South Chestnut Ave., Fresno, CA 93725 | 2010-02-02 |
| 1366075020 | Jacqueline Larios Cardenas | Dental Assistant | 7005 N Chestnut Ave Ste 101, Fresno, CA 93720-0348 | 2020-02-20 |
| 1801457957 | Isabel Hernandez | Dental Assistant | 6323 N Fresno St Ste 101, Fresno, CA 93710-5282 | 2019-06-27 |
| Find all providers in FRESNO | ||||
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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.