MS. KATHLEEN ALICE MITCHELL (NPI# 1316012750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316012750 |
| Entity Type | Individual |
| Full Name | MS. KATHLEEN ALICE MITCHELL |
| Other Name | MRS. KATHLEEN MITCHELL ROPER |
| Credential | RDH |
| Practice Address |
36977 Park Ave Pit River Heath Service Burney CA 96013 |
| Mailing Address |
20219 Maple Leaf Street Burney CA 96013 |
| Practice Telephone | 5303353651 |
| Mailing Telephone | 5303352141 |
| Enumeration Date | 2006-11-21 |
| 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 | RDH8266 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134696289 | Kathleen Mitchell | Nurse Practitioner | 2287 Calle Catarina, Chula Vista, CA 91914-4455 | 2018-10-26 |
| 1104161603 | Kathleen Mitchell | Social Worker | 22152 Cleveland St, Dearborn, MI 48124-3424 | 2012-12-10 |
| 1043474406 | Kathleen Mitchell | Counselor | 10024 Office Center Ave, Ste 100, Saint Louis, MO 63128-1381 | 2008-07-15 |
| 1073714374 | Kathleen Ann Mitchell | Social Worker | 387 Minot Avenue, Auburn, ME 04210 | 2007-05-31 |
| 1851515050 | Kathleen Mitchell | Optometrist | 870 Longwood Ln, Alpharetta, GA 30004-3992 | 2007-04-12 |
| 1891849501 | Kathleen Mitchell | Nurse Practitioner | One General Street - Lamprey 4, Lawrence, MA 01842 | 2007-01-22 |
| 1871655605 | Kathleen Anne Mitchell | Speech-Language Pathologist | 500 S Mcqueen Rd, Gilbert, AZ 85233-6506 | 2006-12-15 |
| 1023405255 | Kathleen Mccombs Mitchell | Physician Assistant | 701 Congaree Rd, Greenville, SC 29607-3519 | 2015-04-27 |
| 1245582972 | Kathleen Elaine Mitchell | Registered Nurse | 3617 S Pacific Hwy, Medford, OR 97501-8957 | 2012-10-04 |
| 1023345592 | Kathleen Darnell Mitchell | Pharmacist | 3830 Glade Rd, Colleyville, TX 76034-4829 | 2009-11-04 |
| Street Address |
36977 PARK AVE PIT RIVER HEATH SERVICE |
| City | BURNEY |
| State | CA |
| Zip Code | 96013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578553772 | Herschel F Kearns | Social Worker | 36977 Park Ave, Burney, CA 96013-4067 | 2005-10-27 |
| 1134581325 | Onita Sue Viramontes | Counselor | 36977 Park Ave, Burney, CA 96013-4067 | 2016-03-25 |
| 1376775452 | Ruth Barbara Roeschlau | Registered Nurse | 36977 Park Ave, Burney, CA 96013-4067 | 2009-08-21 |
| 1578709739 | Clarissa Renee Vargas | Dental Hygienist | 36977 Park Ave, Burney, CA 96013-4067 | 2008-12-18 |
| 1770732380 | Daneece Michelle Byrum | Registered Nurse | 36977 Park Ave, Burney, CA 96013-4067 | 2008-09-18 |
| 1730341306 | Sangeeta R Iyer | Internal Medicine | 36977 Park Ave, Burney, CA 96013-4067 | 2008-06-25 |
| 1528246253 | Phyllis Ann Hipps | Social Worker | 36977 Park Ave, Burney, CA 96013-4067 | 2008-02-05 |
| 1750426235 | Patrick Edward Melarkey | Dentist | 36977 Park Ave, Pit River Health Service, Burney, CA 96013 | 2007-02-21 |
| 1104976075 | Dennis Merle Thompson | Social Worker | 36977 Park Ave, Burney, CA 96013-4067 | 2007-01-11 |
| 1396713434 | Mark Clifford Goodwin | Family Medicine | 36977 Park Ave, Burney, CA 96013-4067 | 2006-03-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437631926 | Debra Alderson | Marriage & Family Therapist | 36977 Park Ave., Burney, CA 96013 | 2018-08-31 |
| 1780182543 | Sherif Sobhy Abdalla Salama | Pharmacist | 37435 Main St., Riteaid #6101, Burney, CA 96013 | 2018-01-26 |
| 1649634841 | Michael Akas | Nurse Practitioner | 37497 Enterprise Drive, Burney, CA 96013 | 2016-04-13 |
| 1316096142 | Shasta County Mental Health Burney Clinic | Community/Behavioral Health | 37497 Enterprise Street, A, Burney, CA 96013 | 2007-01-10 |
| 1376636092 | Karen Patricia Van Dyke | Dentist | 20615 Commerce Way, Burney, CA 96013 | 2006-10-02 |
| 1396753315 | Bobetta Jeanne Berthelsen | Ophthalmology | 37333 State Highway 299 E, Burney, CA 96013 | 2006-08-04 |
| 1013943620 | Lewis Edgar Furber Jr. | Nurse Practitioner | 36977 Park Avenue, Pitt River Health Services, Burney, CA 96013 | 2006-06-24 |
| 1730253170 | Burney Fire District | Ambulance | 37072 Main Street, Burney, CA 96013-0000 | 2006-11-18 |
| 1821496357 | David M Moeschler | Public Health or Welfare | 36911 State Highway 299 E, Burney, CA 96013-4050 | 2014-12-16 |
| 1487733689 | Fall River Joint Unified School District | Local Education Agency (LEA) | 20375 Tamarack Ave, Burney, CA 96013-4054 | 2006-11-06 |
| Find all providers in zip 96013 | ||||
| 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 |
|---|---|---|---|---|
| 1396962825 | Jessee Rachael Baldwin | Dental Hygienist | 20623 Commerce Way, Burney, CA 96013-4380 | 2007-04-19 |
| 1578709739 | Clarissa Renee Vargas | Dental Hygienist | 36977 Park Ave, Burney, CA 96013-4067 | 2008-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841046 | Betty Satomi Fukumoto | Dental Hygienist | 16008 S Manhattan Pl, Gardena, CA 90247-3681 | 2020-11-08 |
| 1417558180 | Maria Antonette De Lara Kim | Dental Hygienist | 66 S San Gorgonio Ave Ste 5, Banning, CA 92220-6020 | 2020-11-07 |
| 1083215982 | Sokbunntha Yan | Dental Hygienist | 5810 Fidler Ave, Lakewood, CA 90712-1251 | 2020-11-06 |
| 1649871914 | Maryam Ghahramani Shahneshin | Dental Hygienist | 1961 Grove Pl, Escondido, CA 92027-4101 | 2020-11-04 |
| 1285234047 | Maryann Detar | Dental Hygienist | 3154 Alum Rock Ave, San Jose, CA 95127-2903 | 2020-10-29 |
| 1194325597 | Connie Lim Good | Dental Hygienist | 14th Street Bldg 13128, Oceanside, CA 92055 | 2020-10-27 |
| 1336748896 | Cynthia Garcia Macdougall | Dental Hygienist | 444 Hermosa Ave Apt 302, Hermosa Beach, CA 90254-4433 | 2020-10-25 |
| 1346849163 | Ambrosia Evon Steljes | Dental Hygienist | Building 13128 14th Street, Camp Pendleton, CA 92055-5221 | 2020-10-22 |
| 1427657261 | Julie Lynn March | Dental Hygienist | 19871 Mitscher Way Bldg 2495, San Diego, CA 92145-5103 | 2020-10-22 |
| 1386243327 | Leticia Isabel Alcantar | Dental Hygienist | Bldg 520448, Camp Pendleton, CA 92055 | 2020-10-21 |
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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.