LISA J JACOBS (NPI# 1316209232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316209232 |
| Entity Type | Individual |
| Full Name | LISA J JACOBS |
| Credential | RDH |
| Practice Address |
52 Christian Ridge Rd Ellsworth ME 04605 |
| Practice Telephone | 2076670293 |
| Mailing Telephone | 2076670293 |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2012-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 2402 | ME | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225351042 | Lisa Ann Jacobs | General Practice | 251 Sunset Rd., Fitzwilliam, NH 03447 | 2010-03-08 |
| 1932679552 | Lisa Jacobs | Speech-Language Pathologist | 2644 Riva Rd, Annapolis, MD 21401-7427 | 2018-11-26 |
| 1134598428 | Lisa Jacobs | Pharmacist | 500 University Dr, Mail Code Ch80, Hershey, PA 17033-2360 | 2015-09-17 |
| 1376937367 | Lisa Jacobs | Pediatrics | 17100 Euclid Street, Picu, Fountain Valley, CA 92708 | 2015-03-27 |
| 1316366347 | Lisa Jacobs | Student in an Organized Health Care Education/Training Program | 3535 Market St, Second Floor, Philadelphia, PA 19104-3309 | 2014-04-07 |
| 1407003288 | Lisa A Jacobs | Music Therapist | 500 Victory Rd, Quincy, MA 02171-3139 | 2008-08-22 |
| 1871758102 | Lisa Ellen Jacobs | Nurse Practitioner | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2008-07-25 |
| 1104958305 | Lisa Marion Jacobs | Psychologist | 55 Woodland Ave, Summit, NJ 07901-2112 | 2007-03-12 |
| 1184754368 | Lisa Jacobs | Physical Therapist | 524 Irving St Nw, Washington, DC 20010-2904 | 2007-03-06 |
| 1811063738 | Lisa Jacobs | Nurse Practitioner | 600 E 1st St, Spring Valley, IL 61362-1512 | 2006-11-24 |
| Street Address |
52 CHRISTIAN RIDGE RD |
| City | ELLSWORTH |
| State | ME |
| Zip Code | 04605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669456208 | Emily Greenwood Brown | Nurse Practitioner | 52 Christian Ridge Rd, Ellsworth, ME 04605-3210 | 2005-12-06 |
| 1225407166 | Ingrid Langley | Dental Hygienist | 52 Christian Ridge Rd, Ellsworth, ME 04605-3210 | 2015-09-22 |
| 1639548613 | Sheri Wilder | Dental Hygienist | 52 Christian Ridge Rd, Ellsworth, ME 04605-3210 | 2015-09-18 |
| 1174938641 | Elizabeth Joanne Pouwels | Registered Nurse | 52 Christian Ridge Rd, Ellsworth, ME 04605-3210 | 2014-06-24 |
| 1053721829 | Meghan Rianne Packard | Dental Hygienist | 52 Christian Ridge Rd, Ellsworth, ME 04605-3210 | 2014-05-02 |
| 1467880054 | Downeast Health Services | Public Health or Welfare | 52 Christian Ridge Rd, Ellsworth, ME 04605-3210 | 2013-10-17 |
| 1699022285 | Andrea Fowler | Dental Hygienist | 52 Christian Ridge Rd, Ellsworth, ME 04605-3210 | 2012-08-14 |
| 1619244027 | Lorraine P. Klug | Dental Hygienist | 52 Christian Ridge Rd, Ellsworth, ME 04605-3210 | 2011-11-30 |
| 1073804928 | Nicki Clukey | Dental Hygienist | 52 Christian Ridge Rd, Ellsworth, ME 04605-3210 | 2011-04-27 |
| 1215228127 | Carol E Willliams | Dental Hygienist | 52 Christian Ridge Rd, Ellsworth, ME 04605-3210 | 2011-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940464 | Mary Elizabeth Wagstaff | Occupational Therapist | Seaport Village Healthcare, 19 General Moore Way, Ellsworth, ME 04605 | 2019-03-12 |
| 1154784668 | Black Dog Medical Pa | Internal Medicine | 11 Madison Avenue, Lamoine, ME 04605 | 2016-04-01 |
| 1528466687 | Eyecare Now | Point of Service | 248 State St., Ste. 7, Ellsworth, ME 04605 | 2014-12-05 |
| 1104245364 | Elizabeth Arntzen | Massage Therapist | 61 Pine St., Ellsworth, ME 04605 | 2014-04-15 |
| 1992144794 | Kenneth L Senter | Family Medicine | 248 State St., Ellsworth Free Medical Clinic, Ellsworth, ME 04605 | 2013-06-14 |
| 1639465248 | Lynne Marie Betz | Dental Hygienist | 52 Christian Ridge Road, Ellsworth, ME 04605 | 2011-06-22 |
| 1215238431 | Kimberly Ann Burgess | Social Worker | 23 Carriage Way, Ellsworth, ME 04605 | 2010-11-04 |
| 1962713115 | Springy Pond Farm | Voluntary or Charitable | 562 Springy Pond Rd., Otis, ME 04605 | 2010-06-23 |
| 1851629851 | Astor Charlene Gillis | Counselor | 59 Franklin St., Suite B, Ellsworth, ME 04605 | 2009-12-02 |
| 1326372723 | Patricia Brown Orchard | Community Health Worker | 10 Water Street, Suite 124, Ellsworth, ME 04605 | 2009-10-01 |
| Find all providers in zip 04605 | ||||
| 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 |
|---|---|---|---|---|
| 1225384522 | Stephanie Renee' Swett | Dental Hygienist | 21 Infant St, Ellsworth, ME 04605-3310 | 2012-07-24 |
| 1639465248 | Lynne Marie Betz | Dental Hygienist | 52 Christian Ridge Road, Ellsworth, ME 04605 | 2011-06-22 |
| 1548561681 | Katherine Mae Tusing | Dental Hygienist | 70 Kingsland Xing, Suite A, Ellsworth, ME 04605-2570 | 2010-11-05 |
| 1215238373 | Carrie Jo Curtis | Dental Hygienist | 70 Kingsland Xing Ste A, Ellsworth, ME 04605-2570 | 2010-11-05 |
| 1194774422 | Lisa Kay Ross | Dental Hygienist | 223 N Douglas Ave, Ellsworth, KS 67439-3215 | 2006-05-05 |
| 1649621681 | Michelle Mccormick | Dental Hygienist | 47 Park St, Ellsworth, ME 04605-1629 | 2016-06-30 |
| 1871940031 | Terri Lea Huntley | Dental Hygienist | 325 Main St, Ellsworth, ME 04605-1511 | 2016-05-18 |
| 1225407166 | Ingrid Langley | Dental Hygienist | 52 Christian Ridge Rd, Ellsworth, ME 04605-3210 | 2015-09-22 |
| 1639548613 | Sheri Wilder | Dental Hygienist | 52 Christian Ridge Rd, Ellsworth, ME 04605-3210 | 2015-09-18 |
| 1053721829 | Meghan Rianne Packard | Dental Hygienist | 52 Christian Ridge Rd, Ellsworth, ME 04605-3210 | 2014-05-02 |
| Find all providers in ELLSWORTH | ||||
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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.