MARCY JUNGBLUT (NPI# 1336598135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336598135 |
| Entity Type | Individual |
| Full Name | MARCY JUNGBLUT |
| Credential | R.D.H. |
| Practice Address |
117 W Paterson St Kalamazoo MI 49007-2557 |
| Practice Telephone | 2693494257 |
| Mailing Telephone | 2693494257 |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2016-06-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 2902011391 | MI | Dental Providers |
| Street Address |
117 W PATERSON ST |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49007-2557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790755270 | Steven M Pollens | Family Medicine | 117 W Paterson St, Kalamazoo, MI 49007-2557 | 2006-01-25 |
| 1639782618 | Nathalie Peterson | Occupational Therapist | 117 W Paterson St, Kalamazoo, MI 49007-2557 | 2020-08-28 |
| 1972111060 | Susan Michelle Pickett | Dental Hygienist | 117 W Paterson St, Kalamazoo, MI 49007-2557 | 2020-07-15 |
| 1265076798 | Ellen Mbungu | Social Worker | 117 W Paterson St, Kalamazoo, MI 49007-2557 | 2019-10-28 |
| 1578105334 | Prabhjot Grewal | Nurse Practitioner | 117 W Paterson St, Kalamazoo, MI 49007-2581 | 2019-10-14 |
| 1588219166 | Lindsey Rose Thelen | Social Worker | 117 W Paterson St, Kalamazoo, MI 49007-2581 | 2019-08-09 |
| 1093369571 | Savahna Nicole Mason | Social Worker | 117 W Paterson St, Kalamazoo, MI 49007-2581 | 2019-08-01 |
| 1548813181 | Rebecca Dodson | Dental Hygienist | 117 W Paterson St, Kalamazoo, MI 49007-2557 | 2019-07-23 |
| 1467010470 | Mary Catherine Rose | Social Worker | 117 W Paterson St, Kalamazoo, MI 49007-2557 | 2019-06-04 |
| 1053977637 | Mosab Aziz | Occupational Therapist | 117 W Paterson St, Kalamazoo, MI 49007-2581 | 2019-05-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881248342 | Whitney Kiel | Pharmacist | 601 John Street Suite M-020, Kalamazoo, MI 49007 | 2019-08-01 |
| 1316591571 | Laura Jedele | Physical Therapist | Bronson Healthcare Group, 601 John St, Kalamazoo, MI 49007 | 2019-07-26 |
| 1992209084 | Yvonne Marie Heltzel | Behavior Technician | 1826 N Rose St, Kalamazoo, MI 49007 | 2018-03-22 |
| 1396263943 | Travis Todd Turrell | Physician Assistant | 125 S Kalamazoo Mall Suite 204, Kalamazoo, MI 49007 | 2017-09-05 |
| 1619493186 | Sarah Zuspann | Nurse Practitioner | 601 John Street, Suite 100, Kalamazoo, MI 49007 | 2017-08-16 |
| 1720529779 | Dannison | Psychologist | 604 S Rose St, Kalamazoo, MI 49007 | 2017-03-10 |
| 1265988901 | Calee Dieleman | Social Worker | 610 South Burdick, Kalamazoo, MI 49007 | 2016-09-01 |
| 1508313099 | Arriel Julia Ampey | Social Worker | 414 S. Burdick St., Suite 200, Kalamazoo, MI 49007 | 2016-09-01 |
| 1043662745 | Holloway Marston | Psychologist | 717 W South St, Apt. #6, Kalamazoo, MI 49007 | 2016-07-06 |
| 1205280062 | Bronson At Home | Home Health | 601 John St Ste M-431, Kalamazoo, MI 49007 | 2016-04-19 |
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| 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 |
|---|---|---|---|---|
| 1326430471 | Heidi Heers | Dental Hygienist | 613 Regency Sq Apt 302, Kalamazoo, MI 49008-3007 | 2015-02-26 |
| 1316203987 | Marni Drobny Owens | Dental Hygienist | 1011 W Maple St Ste 300, Kalamazoo, MI 49008-5803 | 2012-04-08 |
| 1972111060 | Susan Michelle Pickett | Dental Hygienist | 117 W Paterson St, Kalamazoo, MI 49007-2557 | 2020-07-15 |
| 1285273953 | Katherine Grace Warner | Dental Hygienist | 505 E Alcott St, Kalamazoo, MI 49001-6144 | 2019-12-30 |
| 1154965085 | Elizabeth Lem | Dental Hygienist | 505 E Alcott St, Kalamazoo, MI 49001-6144 | 2019-11-04 |
| 1548813181 | Rebecca Dodson | Dental Hygienist | 117 W Paterson St, Kalamazoo, MI 49007-2557 | 2019-07-23 |
| 1134788722 | Heather Ann Bedker | Dental Hygienist | 505 E Alcott St, Kalamazoo, MI 49001-6144 | 2019-06-07 |
| 1588150833 | Diamond A Jones | Dental Hygienist | 505 E Alcott St, Kalamazoo, MI 49001-6144 | 2018-07-10 |
| 1881115996 | Jessica Lynn Jarrard | Dental Hygienist | 505 E Alcott St, Kalamazoo, MI 49001 | 2017-06-28 |
| 1215475231 | Melissa Gentner | Dental Hygienist | 505 E Alcott St, Kalamazoo, MI 49001 | 2017-02-09 |
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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.