MRS. HEIDI ELLIS (NPI# 1285853788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285853788 |
| Entity Type | Individual |
| Full Name | MRS. HEIDI ELLIS |
| Credential | RDH |
| Practice Address |
1822 Black Lake Blvd Sw Ste 101 Olympia WA 98512-5628 |
| Practice Telephone | 3607099909 |
| Practice Fax Number | 3607099915 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH00004498 | WA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 5901871 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003891201 | Heidi Susan Ellis | Dentist | Naval Postgraduate School, 8901 Wisconsin Ave, Bethesda, MD 20889-5602 | 2005-12-09 |
| Street Address |
1822 BLACK LAKE BLVD SW STE 101 |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98512-5628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326381385 | John P Thompson | Counselor | 1822 Black Lake Blvd Sw Ste 101, Olympia, WA 98512-5628 | 2013-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161402 | Yavonnie Leslie Griggs | Peer Specialist | 3285 Ferguson Ln Sw, Tumwater, Wa 98512, Tumwater, WA 98512 | 2020-10-13 |
| 1205465622 | Falina Marie Luce | Counselor | 3285 Ferguson St, Olympia, WA 98512 | 2020-04-07 |
| 1881234912 | Andres Enrique Velazquez | Counselor | 3285 Ferguson St Sw Wa 98512, Tumwater, WA 98512 | 2020-01-07 |
| 1700432507 | Maria E Zavala Negrete | Behavior Technician | 3285 Ferguson Street Southwest, Tumwater, WA 98512 | 2019-08-16 |
| 1669026951 | Bradley Allen Labrador | Social Worker | 3285 Ferguson St, Sw, Tumwater, WA 98512 | 2019-07-25 |
| 1033762893 | Janice Lapreal Swanzey | Licensed Practical Nurse | 3285 Ferguson Lane St Sw, Olympia, WA 98512 | 2019-07-22 |
| 1821569195 | Linda Marie Moffitt | Registered Nurse | 7741 Littlerock Rd. Sw, Tumwater, WA 98512 | 2018-12-16 |
| 1427534577 | Matthew Hart | Occupational Therapist | 2620 Rw Johnson Boulevard Southwest Suite 112, Tumwater, WA 98512 | 2018-07-12 |
| 1558858019 | Amy Louise Cline | Counselor | 6005 Tyee Drive Sw, Tumwater, WA 98512 | 2018-04-19 |
| 1669998183 | Bradley Ross Bishop | Registered Nurse | 3285 Ferguson Street Sw, Tumwater, WA 98512 | 2017-08-16 |
| Find all providers in zip 98512 | ||||
| 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 |
|---|---|---|---|---|
| 1942718747 | Allison Marie Raphael | Dental Hygienist | 7031 La Vista Dr Sw, Olympia, WA 98512-2154 | 2018-01-15 |
| 1629464094 | Raquel Romero | Dental Hygienist | 7001 44th Ave Ne, Olympia, WA 98516-6217 | 2015-04-12 |
| 1407246531 | Denise Wood Saller | Dental Hygienist | 6548 Puget Beach Rd Ne, Olympia, WA 98516-9120 | 2015-01-27 |
| 1265668917 | Angela Mcmillian-orr | Dental Hygienist | 8240 22nd Ave Se, Olympia, WA 98513-3480 | 2009-06-09 |
| 1922256106 | Wendy Jean Bond-mcaferty | Dental Hygienist | 9731 Noschka Rd Sw, Olympia, WA 98512-9393 | 2008-08-31 |
| 1609022789 | Leslie R Valentine | Dental Hygienist | 3144 107th Ave Sw, Olympia, WA 98512-9105 | 2008-08-08 |
| 1285753814 | Diane Craighead | Dental Hygienist | 621 77th Ave Ne, Olympia, WA 98506-9775 | 2007-03-28 |
| 1528108909 | Gay M. Jensen | Dental Hygienist | 3430 Pacific Ave Se Ste A6 Pmb 170, Olympia, WA 98501-2177 | 2007-02-07 |
| 1215494232 | Annelise Denning | Dental Hygienist | 115 Cleveland Ave Se, Olympia, WA 98501-7718 | 2019-02-26 |
| 1669608048 | Smile Care | Dental Hygienist | 3144 107th Ave Sw, Olympia, WA 98512-9105 | 2009-05-30 |
| Find all providers in OLYMPIA | ||||
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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.