JESSICA BURDICK (NPI# 1285994509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285994509 |
| Entity Type | Individual |
| Full Name | JESSICA BURDICK |
| Credential | RDH |
| Practice Address |
17571 N Dam Access Rd Warsaw MO 65355-6396 |
| Mailing Address |
821 Westwood Dr Sedalia MO 65301-2102 |
| Practice Telephone | 6604382717 |
| Practice Fax Number | 8889798868 |
| Mailing Telephone | 6608264774 |
| Mailing Fax Number | 6608261300 |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2020-05-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 2007015365 | MO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548484306 | Jessica Milchak Burdick | Social Worker | 1124 College Dr, Rock Springs, WY 82901-5863 | 2007-04-12 |
| Street Address |
17571 N DAM ACCESS RD |
| City | WARSAW |
| State | MO |
| Zip Code | 65355-6396 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760468276 | Rebecca G Camden | Social Worker | 17571 N Dam Access Rd, Warsaw, MO 65355-6396 | 2005-12-16 |
| 1952964926 | Ashley J Degraffenreid | Licensed Practical Nurse | 17571 N Dam Access Rd, Warsaw, MO 65355-6396 | 2019-04-16 |
| 1225553670 | Michael Machnicki | Social Worker | 17571 N Dam Access Rd, Warsaw, MO 65355-6396 | 2017-08-07 |
| 1568985786 | Rebecca L Steenburgen | Counselor | 17571 N Dam Access Rd, Warsaw, MO 65355-6396 | 2017-07-19 |
| 1063956738 | George Holmes | Social Worker | 17571 N Dam Access Rd, Warsaw, MO 65355-6396 | 2016-12-14 |
| 1255781027 | Lucas Carpenter | Dentist | 17571 N Dam Access Rd, Warsaw, MO 65355-6396 | 2016-06-13 |
| 1639578966 | Katherine Ann Wendel | Licensed Practical Nurse | 17571 N Dam Access Rd, Warsaw, MO 65355-6396 | 2014-08-22 |
| 1922415751 | Samad Nasaryab Hassan | Psychiatry & Neurology | 17571 N Dam Access Rd, Warsaw, MO 65355-6396 | 2014-07-14 |
| 1558706580 | Cassandra Ann Cox | Nurse Practitioner | 17571 N Dam Access Rd, Warsaw, MO 65355-6396 | 2013-05-03 |
| 1669729919 | Tracy Lee Adams | Counselor | 17571 N Dam Access Rd, Warsaw, MO 65355-6396 | 2012-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578107298 | Heart Core LLC | Custodial Care Facility | 810 Kennedy Dr, Warsaw, MO 65355 | 2019-11-06 |
| 1679083588 | Back In Action Chiropractic LLC | Chiropractor | 204 W Seminary St, Warsaw, MO 65355 | 2017-10-05 |
| 1295260313 | Trey Kalbaugh | Dentist | 1631 Commercial St # 4385139, Warsaw, MO 65355 | 2017-04-26 |
| 1801247523 | Show Me Physical Therapy LLC | Physical Therapist | 1870 Commercial Street, Warsaw, MO 65355 | 2016-06-23 |
| 1972945046 | Jessica G Bell | Social Worker | 23929 U.S. Highway 65, Warsaw, MO 65355 | 2013-07-18 |
| 1518198043 | Benton County Advocates for Developmental Disabilities | Home Health | 1661 Commercial Street, Warsaw, MO 65355 | 2009-07-31 |
| 1679707731 | Porter Chiropractic Clinic PC | Chiropractor | 122 W Washington St, Warsaw, MO 65355 | 2009-05-05 |
| 1770744237 | Sara Beth Forester | Speech-Language Pathologist | 134 W Kosciusko St, Warsaw, MO 65355 | 2008-06-18 |
| 1306023056 | Chantel L Brewster | Speech-Language Pathologist | 134 Kosciusko, Warsaw, MO 65355 | 2008-01-24 |
| 1871780767 | Children's Therapy Center | Community/Behavioral Health | 127 Tower Rd., Warsaw, MO 65355 | 2007-09-25 |
| Find all providers in zip 65355 | ||||
| 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 |
|---|---|---|---|---|
| 1205261260 | Lisa Hartman | Dental Hygienist | 81 S Main St, Warsaw, NY 14569 | 2013-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323238 | Marcia Poe | Dental Hygienist | 20815 S Dean Rd, Belton, MO 64012-9132 | 2020-10-12 |
| 1629682943 | Seong Jin Park | Dental Hygienist | 6958 Nebraska Ave Bldg 1608, Fort Leonard Wood, MO 65473-1618 | 2020-09-03 |
| 1447868542 | Emily Sue Leslie | Dental Hygienist | 315 W Mulberry Ste B, Pilot Knob, MO 63663-7860 | 2020-07-15 |
| 1982198453 | Traci Anne Shambo | Dental Hygienist | Bldg. 400 Virginia Ave, Fort Leonard Wood, MO 65473 | 2018-06-19 |
| 1396237863 | Maegen Mone Taylor | Dental Hygienist | 547 S Business Highway 13, Lexington, MO 64067 | 2018-05-31 |
| 1740798750 | Julie R Phillips | Dental Hygienist | 10007 Nw Lema Dr Apt C, Parkville, MO 64152-3933 | 2018-01-12 |
| 1639618325 | Tabitha Vollmer | Dental Hygienist | 1701 W. Sunshine Street, Suite Q, Springfield, MO 65807-2261 | 2017-02-15 |
| 1588113773 | Heather Annette Henke | Dental Hygienist | #5 Health Department Drive, Troy, MO 63379-4451 | 2016-09-28 |
| 1720532104 | Angela Faurot | Dental Hygienist | 4001 Pine View Dr, Columbia, MO 65202-4209 | 2016-08-15 |
| 1497105688 | Lisa Diane Moss | Dental Hygienist | 5047 Virginia Ave, Bldg 500, Fort Leonard Wood, MO 65473-9126 | 2016-06-17 |
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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.