MRS. CECILIA JO HICKAM (NPI# 1376940668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376940668 |
| Entity Type | Individual |
| Full Name | MRS. CECILIA JO HICKAM |
| Credential | RDH-EA, OMT |
| Practice Address |
1121 E. State Street Suite - 102-d Eagle ID 83616 |
| Mailing Address |
1121 E. State Street Suite 102-d Eagle ID 83616 |
| Practice Telephone | 2085849060 |
| Mailing Telephone | 2085849060 |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2014-12-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH-0356-EA | ID | Dental Providers |
| Street Address |
1121 E. STATE STREET SUITE - 102-D |
| City | EAGLE |
| State | ID |
| Zip Code | 83616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714049 | Care Medical Housecalls PC | Nurse Practitioner | 2040 E Holgate Ct, Eagle, ID 83616 | 2020-03-06 |
| 1629613823 | Counseling Solutions Center LLC | Marriage & Family Therapist | 2618 East Snocreek, Eagle, ID 83616 | 2019-11-12 |
| 1245726918 | Tracy Lyn Hagadorn | Midwife | 182 State Street, Eagle, ID 83616 | 2018-07-06 |
| 1861922627 | Nicholas A. Stelzner | Counselor | 2419 W. State St. Suite 8, Boise, ID 83616 | 2017-06-14 |
| 1184080210 | Gabriel Guerrero | Dermatology | 323 E Riverside Dr Ste 234, Eagle, ID 83616 | 2016-01-05 |
| 1871912634 | Christine E Birch | Psychiatry & Neurology | 1032 S Bridgeway Pl Ste 110, Eagle, ID 83616 | 2014-04-09 |
| 1043552524 | Tori Croshaw | Social Worker | 372 S Eagle Rd Ste 190, Eagle, ID 83616 | 2013-03-21 |
| 1053650010 | Kellie Ann Northam | Nurse Practitioner | 192 West State Street, Eagle, ID 83616 | 2013-02-11 |
| 1437494457 | Mary Beth Roehling | Nurse Practitioner | 2040 E Hologate Ct, Eagle, ID 83616 | 2012-12-03 |
| 1659629244 | Lily Caywood | Speech-Language Pathologist | 935 E. Winding Creek Dr. Ste. 120, Eagle, ID 83616 | 2012-08-29 |
| Find all providers in zip 83616 | ||||
| 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 |
|---|---|---|---|---|
| 1184148157 | Hallie Mclaughlin | Dental Hygienist | 530 Founders Ave, Eagle, CO 81631 | 2017-08-01 |
| 1649680232 | Suprena L Crawford | Dental Hygienist | 516 Bluffs Drive, Eagle, CO 81631-1962 | 2014-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649898578 | Michelle Ann Watkins | Dental Hygienist | 721 Northstar Dr, Hailey, ID 83333-8501 | 2020-07-07 |
| 1124644364 | Teena Barnes | Dental Hygienist | 3915 E 154 N, Rigby, ID 83442-5727 | 2020-06-23 |
| 1467966499 | Melanie Hill | Dental Hygienist | 550 W Sunnyside Rd Ste 7, Idaho Falls, ID 83402-4642 | 2017-11-29 |
| 1326575325 | Terrin Loe | Dental Hygienist | 358-786 Long Road, Plummer, ID 83851 | 2017-05-22 |
| 1427589936 | Jamie Rowe | Dental Hygienist | 581 N Whitewater Park Blvd Apt D202, Boise, ID 83702-5689 | 2017-03-26 |
| 1104207216 | Caring Smiles Pllc | Dental Hygienist | 8744 W. Fairview Ave, Boise, ID 83704 | 2015-06-15 |
| 1790916476 | Thressa K. Fogleman | Dental Hygienist | 2355 American Legion Blvd, Mountain Home, ID 83647-3145 | 2009-07-29 |
| 1053563619 | Kellie Renee Bergendahl | Dental Hygienist | 427 12th St, Plummer, ID 83851-4000 | 2008-10-15 |
| 1972720936 | Idaho State University | Dental Hygienist | 999 Martin Luther King Jr. Way, Pocatello, ID 83209-8048 | 2007-04-19 |
| 1093761694 | Family Health Services Corporation | Dental Hygienist | 402 6th St, Rupert, ID 83350 | 2006-05-25 |
| 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.