KELLY MANDELLA (NPI# 1306150941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306150941 |
| Entity Type | Individual |
| Full Name | KELLY MANDELLA |
| Credential | RDH |
| Practice Address |
2722 Colby Ave Suite 318 Everett WA 98201-3557 |
| Practice Telephone | 4255511000 |
| Practice Fax Number | 4255511001 |
| Mailing Telephone | 4255511000 |
| Mailing Fax Number | 4255511001 |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2010-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH00007041 | WA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 5902481 | 05 |
| Street Address |
2722 COLBY AVE SUITE 318 |
| City | EVERETT |
| State | WA |
| Zip Code | 98201-3557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508838087 | Barbara Jean Skelly | Counselor | 2722 Colby Ave, Suite 401, Everett, WA 98201-3557 | 2006-02-07 |
| 1528526019 | Rachel Foster | Counselor | 2722 Colby Ave, Everett, WA 98201-3557 | 2019-03-04 |
| 1972043891 | A New Beginning Counseling Services | Counselor | 2722 Colby Ave, Suite 725, Everett, WA 98201-3557 | 2017-02-24 |
| 1902343460 | Catholic Community Services of Western Washington | Community/Behavioral Health | 2722 Colby Ave, Ste 610, Everett, WA 98201 | 2017-01-23 |
| 1275079519 | Laurin Cramer | Counselor | 2722 Colby Ave, Ste 610, Everett, WA 98201-3557 | 2017-01-10 |
| 1952779894 | Darla Telschow | Counselor | 2722 Colby Ave, Suite 610, Everett, WA 98201-3557 | 2015-09-09 |
| 1952792921 | Theodore Mausshardt Inc | Community/Behavioral Health | 2722 Colby Ave, #402, Everett, WA 98201-3557 | 2015-02-12 |
| 1174925556 | Deona Koberstein | Counselor | 2722 Colby Ave, Suite 610, Everett, WA 98201-3557 | 2014-09-17 |
| 1235538448 | Don Cho | Counselor | 2722 Colby Ave, Suite 520, Everett, WA 98201-3557 | 2014-08-14 |
| 1871916254 | Brandy George | Counselor | 2722 Colby Ave, Ste 610, Everett, WA 98201-3557 | 2014-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306471867 | Shannon Michelle Dewald | Registered Nurse | D8s 1700 13th St, Everett, WA 98201 | 2020-03-05 |
| 1578123113 | Precious Medicial Spa, LLC | Registered Nurse | 1728 W. Marine View Dr Suite 212, Everett, WA 98201 | 2019-06-17 |
| 1508429796 | Alix Deschain | Counselor | 2801 Broadway, Everett, WA 98201 | 2019-04-15 |
| 1811457534 | Khushboo Patel | Pharmacist | 1330 Rockefeller Ave Ste 150, Everett, WA 98201 | 2019-03-20 |
| 1164991188 | Grace Talbot Davis | Registered Nurse | 2601 Summit Avenue, Bldg. C, Everett, WA 98201 | 2018-11-20 |
| 1063924603 | Tracy Sisk | Counselor | 3120 Colby Ave, 502, Everett, WA 98201 | 2017-11-03 |
| 1710403126 | Michelle Durham | Counselor | 3322 Boadway Fl 2, Everett, WA 98201 | 2017-08-17 |
| 1861927949 | Melanie Schmidt | Counselor | 2610 Westmore Ave, Everett, WA 98201 | 2017-04-26 |
| 1518413327 | Joseph Madson Dmd Pllc | Clinic/Center | 3802 Colby Ave, 4th Floor, Everett, WA 98201 | 2016-08-31 |
| 1043683162 | Jennifer Adams | Counselor | 1511 26th St, Everett, WA 98201 | 2015-11-11 |
| Find all providers in zip 98201 | ||||
| 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 |
|---|---|---|---|---|
| 1225685076 | Maria Guadalupe Scott | Dental Hygienist | 1920 100th St Se Ste C2, Everett, WA 98208-3832 | 2019-08-26 |
| 1972956423 | Miles F. Neff, Dds | Dental Hygienist | 3230 Colby Ave Ste 3, Everett, WA 98201-4399 | 2016-07-20 |
| 1548867302 | Ran Tao | Dental Hygienist | 1019 112th St Sw, Everett, WA 98204-4875 | 2020-10-05 |
| 1881254464 | Sandra Lynn Crannell | Dental Hygienist | 1019 112th St Sw, Everett, WA 98204-4875 | 2019-06-17 |
| 1790252708 | Elroy Dean Quemado | Dental Hygienist | 1019 112th St Sw, Everett, WA 98204-4875 | 2018-10-29 |
| 1457870701 | Maria Esquivel | Dental Hygienist | 1424 Broadway, Everett, WA 98201-1720 | 2017-09-18 |
| 1487008462 | Hiruy Gebrewold | Dental Hygienist | 1019 112th St Sw, Everett, WA 98204-4875 | 2016-04-15 |
| 1972961571 | Courtney Fisher | Dental Hygienist | 1019 112th St Sw, Everett, WA 98204-4875 | 2016-02-10 |
| 1942556147 | Rebecca J Vesely | Dental Hygienist | 1424 Broadway, Everett, WA 98201-1720 | 2012-07-25 |
| 1255631669 | Eileen R Marasigan | Dental Hygienist | 2722 Colby Ave, Suite 318, Everett, WA 98201-3557 | 2010-11-01 |
| Find all providers in EVERETT | ||||
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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.