MS. SHANNON REI KLECKNER (NPI# 1265837850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265837850 |
Entity Type | Individual |
Full Name | MS. SHANNON REI KLECKNER |
Credential | PHDHP |
Practice Address |
606 W 2nd St Erie PA 16507-1111 |
Practice Telephone | 8144516700 |
Practice Fax Number | 8144516766 |
Mailing Telephone | 8144516700 |
Mailing Fax Number | 8144516766 |
Enumeration Date | 2014-10-26 |
Last Update Date | 2014-10-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | PHDH000618 | PA | Dental Providers |
Street Address |
606 W 2ND ST |
City | ERIE |
State | PA |
Zip Code | 16507-1111 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235355793 | County of Erie | Home Health | 606 W 2nd St, Erie, PA 16507-1111 | 2007-04-17 |
1851862387 | Tiffany Marie Thomas | Registered Nurse | 606 W 2nd St, Erie, PA 16507-1199 | 2018-12-10 |
1861979973 | Karen B Omniewski | Dental Hygienist | 606 W 2nd St, Erie, PA 16507-1111 | 2018-07-21 |
1699180661 | Wendy Nielsen | Registered Nurse | 606 W 2nd St, Erie, PA 16507-1111 | 2014-06-27 |
1093159212 | Sarah Kay Strattan | Registered Nurse | 606 W 2nd St, Erie County Department of Health, Erie, PA 16507-1111 | 2013-04-18 |
1952691107 | Christine M Paparelli | Registered Nurse | 606 W 2nd St, Erie, PA 16507-1111 | 2011-04-08 |
1871894733 | Karen Lynn Bugaj | Nurse Practitioner | 606 W 2nd St, Erie, PA 16507-1111 | 2010-11-09 |
1669706263 | Margaret F. Harakal | Nurse Practitioner | 606 W 2nd St, Erie, PA 16507-1111 | 2009-09-29 |
1265673594 | Debra Ann Shreve | Registered Nurse | 606 W 2nd St, Erie, PA 16507-1111 | 2009-03-17 |
1174749808 | Tamara Lynn Trump | Registered Nurse | 606 W 2nd St, Erie, PA 16507-1111 | 2007-04-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275198723 | Ram Baboo | Student in an Organized Health Care Education/Training Program | 120 East 2nd Street Upmc Northshore Neurology, 3rd Floor, Erie, PA 16507 | 2019-05-09 |
1518431915 | Katrina L Putnam | Social Worker | 101 East Avenue, Erie, PA 16507 | 2019-01-18 |
1144712084 | Kathlyn Elise Callenius | Student in an Organized Health Care Education/Training Program | 120 East Second St, 3rd Floor, Erie, PA 16507 | 2018-06-06 |
1043707490 | Cecelia Anne Hollands | Counselor | 103 East Ave., Erie, PA 16507 | 2018-04-20 |
1336591239 | Zachary Dusckas | Student in an Organized Health Care Education/Training Program | 100 Peach St #400, Orthopaedics & Sports Medicine of Erie, Erie, PA 16507 | 2016-07-05 |
1679928329 | Stephanie Libra | Occupational Therapist | 100 Barber Place, Box # 29, Erie, PA 16507 | 2016-05-02 |
1821476243 | Colin Macelroy Vroome Jr. | Orthopaedic Surgery | Hand, Microsurgery, Reconstructive Orthopedics, LLP, 300 State St. Suite 205, Erie, PA 16507 | 2015-05-18 |
1255742227 | Danoushka Tememe | Psychiatry & Neurology | 120 East Second St., 3rd Floor, Erie, PA 16507 | 2014-05-13 |
1811307507 | David Aaron Hammer | Psychiatry & Neurology | 120 E Second Street Upmc North Shore Neurology, 7rd Floor, Erie, PA 16507 | 2014-05-02 |
1912330325 | Jeanine Krugger | Pharmacist | 363 East 6th St, Erie, PA 16507 | 2013-08-21 |
Find all providers in zip 16507 |
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 |
---|---|---|---|---|
1326437419 | Danette Shaffer | Dental Hygienist | 2712 W 34th St, Erie, PA 16506-3378 | 2015-01-13 |
1417258260 | Martie Ann George | Dental Hygienist | 902 Richard Dr, Erie, PA 16509-2977 | 2010-11-10 |
1154541225 | Bonni Burke | Dental Hygienist | 135 East 38th St., Erie, PA 16504 | 2007-04-30 |
1861979973 | Karen B Omniewski | Dental Hygienist | 606 W 2nd St, Erie, PA 16507-1111 | 2018-07-21 |
1932625217 | Cynthia Kuerner | Dental Hygienist | 2120 E 10th St, Erie, PA 16511-3111 | 2017-08-17 |
1720519531 | Lana J Quinn | Dental Hygienist | 1202 State St, Erie, PA 16501-1914 | 2017-03-23 |
1447677083 | Linda Straub-bruce | Dental Hygienist | 5158 Peach St, Erie, PA 16509-2489 | 2014-03-20 |
1386962181 | Lora Bell | Dental Hygienist | 1720 Holland St, Erie, PA 16503-1808 | 2010-05-04 |
1881922656 | Brea A Bush | Dental Hygienist | 1720 Holland St, Erie, PA 16503-1808 | 2009-12-06 |
1609104488 | Regina G Zapata | Dental Hygienist | 1202 State St, Erie, PA 16501-1914 | 2009-12-06 |
Find all providers in ERIE |
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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.