ROBERTA RODRIGUEZ (NPI# 1356825186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356825186 |
| Entity Type | Individual |
| Full Name | ROBERTA RODRIGUEZ |
| Practice Address |
15136 St Hwy 75 Penasco NM 87553 |
| Mailing Address |
Po Box 158 Espanola NM 87532-0158 |
| Practice Telephone | 5755872809 |
| Practice Fax Number | 5755872605 |
| Mailing Telephone | 5057537218 |
| Mailing Fax Number | 5057477396 |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2018-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285878108 | Roberta Michele Rodriguez | Counselor | 2901 S H St, Bakersfield, CA 93304-5602 | 2009-04-22 |
| Street Address |
15136 ST HWY 75 |
| City | PENASCO |
| State | NM |
| Zip Code | 87553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366092645 | Shannon Monique Medina | Social Worker | 13 Old School Rd, Penasco, NM 87553 | 2019-09-18 |
| 1750796058 | Greta Carson | Counselor | 15 School Road, Penasco, NM 87553 | 2014-06-25 |
| 1912324724 | El Centro Family Health | Clinic/Center | 14190 State Road 75, Penasco, NM 87553 | 2014-03-19 |
| 1972782472 | Erik Alexander Watson | Dentist | 15136 State Road 75, Penasco, NM 87553 | 2007-10-31 |
| 1871586248 | Lyn M. St. Louis | Dental Hygienist | House#013405 State Rd. 75 - Hcnnm Penasco Dental, Penasco, NM 87553 | 2005-08-31 |
| 1669840310 | Laura Mccutcheon | Physician Assistant | 15136 State Road 75, Penasco, NM 87553 | 2015-09-11 |
| 1366783771 | David N Gould | Physician Assistant | 15136 St. Rd. 75, El Centro Family Health Penasco Medical Clinic, Penasco, NM 87553 | 2013-03-11 |
| 1164782462 | El Centro Family Health | Clinic/Center | 15136 St. Rd., Penasco, NM 87553-0000 | 2012-05-21 |
| 1669521282 | Taos Health Systems Inc Holy Cross Hospital | Clinic/Center | #24 Highway 73, Penasco, NM 87553-0205 | 2007-01-10 |
| 1720071186 | Douglas A. North | Physician Assistant | 15136 St. Rd. 75, Penasco, NM 87553-0238 | 2005-08-31 |
| Find all providers in zip 87553 | ||||
| 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 |
|---|---|---|---|---|
| 1871586248 | Lyn M. St. Louis | Dental Hygienist | House#013405 State Rd. 75 - Hcnnm Penasco Dental, Penasco, NM 87553 | 2005-08-31 |
| 1578951422 | Rachel Moore | Dental Hygienist | 15136 St. Rd. 75, El Centro Family Health Penasco Dental Clinic, Penasco, NM 87553-0516 | 2014-12-30 |
| 1447534318 | Lizabeth L. Jamison | Dental Hygienist | State Rd. 75 #15136, El Centro Family Health Penasco Dental, Penasco, NM 87553-0516 | 2011-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940787 | Carrie Boehm | Dental Hygienist | 2844 E Main St Ste 106-145, Farmington, NM 87402-5260 | 2020-10-16 |
| 1205450939 | Aislinn B Grover | Dental Hygienist | Indian Service Rte 140 & Indian Service Route 125, Pinehill, NM 87357 | 2020-05-28 |
| 1669095188 | Julie Arneson | Dental Hygienist | 11 Sacred Vista Rd, El Prado, NM 87529 | 2020-05-19 |
| 1013540848 | Kelsi Marie Hartwig | Dental Hygienist | Highway 491 North, Yucca Street, Shiprock, NM 87420 | 2020-02-20 |
| 1841839099 | Naomi Lynn Amador | Dental Hygienist | 105 Golf Dr, Clovis, NM 88101-3145 | 2020-01-04 |
| 1972061539 | Mary Hilley | Dental Hygienist | 33 General Sage Dr, Santa Fe, NM 87505-6397 | 2019-03-03 |
| 1568930782 | Janelle K Mancha | Dental Hygienist | 9527 Night Sky Ln Ne, Albuquerque, NM 87122-1252 | 2018-11-06 |
| 1063988301 | Sarah Adele Sisneros | Dental Hygienist | 333 San Mateo Blvd Se Ste A, Albuquerque, NM 87108-2919 | 2018-10-14 |
| 1285125658 | Alicia T Medrano | Dental Hygienist | 1105 Golf Course Rd Se Bldg A, Rio Rancho, NM 87124-4733 | 2018-05-22 |
| 1700393733 | Utopia Dental Care,llc | Dental Hygienist | 1100 Lomas Blvd Nw Ste 1a, Albuquerque, NM 87102-1878 | 2017-12-28 |
| Find all providers with the same taxonomy | ||||
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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.