BREANNA NICHOLE CLINE (NPI# 1366944290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366944290 |
| Entity Type | Individual |
| Full Name | BREANNA NICHOLE CLINE |
| Credential | RDH |
| Practice Address |
106 Derry Heights Blvd Lewistown PA 17044-8604 |
| Mailing Address |
100 Shenango Ave Sharon PA 16146-1503 |
| Practice Telephone | 7172489900 |
| Practice Fax Number | 7172489910 |
| Mailing Telephone | 7172489900 |
| Mailing Fax Number | 7172489910 |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2019-08-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH073123 | PA | Dental Providers |
| Street Address |
106 DERRY HEIGHTS BLVD |
| City | LEWISTOWN |
| State | PA |
| Zip Code | 17044-8604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427056274 | Gail Hinrichs Heyn | Dentist | 106 Derry Heights Blvd, Lewistown, PA 17044-8604 | 2005-07-13 |
| 1043704513 | Primary Health Network | Clinic/Center | 106 Derry Heights Blvd, Lewistown, PA 17044-8604 | 2018-06-19 |
| 1861946709 | Swapnima Shrestha | Dentist | 106 Derry Heights Blvd, Lewistown, PA 17044-8604 | 2016-08-09 |
| 1619385507 | Kyle Swineford | Physician Assistant | 106 Derry Heights Blvd, Lewistown, PA 17044-8604 | 2014-07-24 |
| 1780806877 | Yekalo T. Beyene | Family Medicine | 106 Derry Heights Blvd, Lewistown, PA 17044-8604 | 2007-05-02 |
| 1073560553 | Geisinger Community Health Services | PACE Provider Organization | 106 Derry Heights Blvd, Lewistown, PA 17044-8604 | 2006-05-28 |
| 1730140310 | Kimberly J. Manganaro | Family Medicine | 106 Derry Heights Blvd, Lewistown, PA 17044-8604 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295391126 | Kenzie Renae Wray | Occupational Therapy Assistant | 1617 Us Highway 522 N, Lewistown, PA 17044 | 2019-05-16 |
| 1801305206 | Sarah Arndt | Occupational Therapist | Ohesson Manor 276 Green Ave, Lewistown, PA 17044 | 2017-09-28 |
| 1093182685 | Silver Lining Counseling LLC | Community/Behavioral Health | 100a Stine Drive, Lewistown, PA 17044 | 2015-08-31 |
| 1750778981 | Geisinger Lewistown Hospital | Clinic/Center | 211 Third Street, Lewistown, PA 17044 | 2015-04-27 |
| 1154717619 | Nicki Vithalani | Student in an Organized Health Care Education/Training Program | 211 Third St, Lewistown, PA 17044 | 2015-04-11 |
| 1871923391 | Karen Graham Doberneck | Psychologist | 25 N. Main Street, Lewistown, PA 17044 | 2013-11-19 |
| 1730420639 | Mary Ruth Habashy | Advanced Practice Midwife | 400 Highland Avenue, Lewistown, PA 17044 | 2013-03-04 |
| 1689923781 | Deborah L Martin | Massage Therapist | 45 Serenity Lane, Jack's Creek Road, Lewistown, PA 17044 | 2012-09-05 |
| 1053605931 | Lori Lee Yocum | Licensed Practical Nurse | 25 Rothermel Drive, Lewistown, PA 17044 | 2011-06-08 |
| 1235364613 | Heather Anya Morgan | Chiropractor | 713 W 4th St, Lewistown, PA 17044 | 2009-05-28 |
| Find all providers in zip 17044 | ||||
| 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 |
|---|---|---|---|---|
| 1316474646 | Stacy Michelle Fowler | Dental Hygienist | 4583 Grinde Rd, Lewistown, MT 59457-8043 | 2017-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033724794 | Ana Garcia Velazco | Dental Hygienist | 450 Gibner Rd Ste 2, Carlisle, PA 17013-5095 | 2020-09-10 |
| 1992320055 | Jennifer Hoch | Dental Hygienist | 100 S Broad St Ste 2000, Philadelphia, PA 19110-1009 | 2020-06-14 |
| 1003456401 | Cheryl Ann Ross | Dental Hygienist | 1901 Dartmouth St, Camp Hill, PA 17011-3832 | 2020-01-14 |
| 1477191047 | Kathy Pursel | Dental Hygienist | 1510 Chester Pike Ste 200, Eddystone, PA 19022-1377 | 2019-12-14 |
| 1548807472 | Dawn Dudley | Dental Hygienist | 424 S 1st St, Duquesne, PA 15110-1115 | 2019-12-10 |
| 1700421823 | Alaina Stango | Dental Hygienist | 3815 Saltsburg Rd, Clarksburg, PA 15725-7801 | 2019-11-13 |
| 1124662515 | Allison Bruno | Dental Hygienist | 2360 Harrison City Rd, Export, PA 15632-8912 | 2019-10-29 |
| 1184267841 | Eugene W Moisey | Dental Hygienist | 107 S. Market St, Suite #2, Berwick, PA 18603 | 2019-10-24 |
| 1588207906 | Teresa Mcbreen | Dental Hygienist | 744 E Lincoln Hwy Ste 110, Coatesville, PA 19320-3590 | 2019-10-18 |
| 1437706926 | Jean Elizabeth Rath | Dental Hygienist | 160 E Erie Ave # N1-08, Philadelphia, PA 19134-1011 | 2019-08-20 |
| 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.