MRS. MELISSA NICKESON (NPI# 1396217998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396217998 |
Entity Type | Individual |
Full Name | MRS. MELISSA NICKESON |
Credential | RDA |
Practice Address |
1900 Shaw Ave Ste 101 Clovis CA 93611-4209 |
Practice Telephone | 5594395300 |
Mailing Telephone | 5594395300 |
Enumeration Date | 2018-12-19 |
Last Update Date | 2018-12-19 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 126800000X | Dental Assistant | Dental Providers |
Street Address |
1900 SHAW AVE STE 101 |
City | CLOVIS |
State | CA |
Zip Code | 93611-4209 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972064079 | Marie James | Dental Assistant | 1900 Shaw Ave Ste 101, Clovis, CA 93611-4209 | 2019-03-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033773122 | Mao Thao | Pharmacist | 2133 Shaw Avenue, Clovis, CA 93611 | 2019-04-24 |
1326506098 | Lauren Moriah Horsley | Speech-Language Pathologist | 650 W. Alluvial Ave., Clovis, CA 93611 | 2019-03-12 |
1780171223 | Alamos Care | Skilled Nursing Facility | 2193 Alamos Ave, Clovis, CA 93611 | 2018-04-19 |
1346612215 | Aimee Rasch | Occupational Therapy Assistant | 650 West Alluvial Avenue, Clovis, CA 93611 | 2015-10-30 |
1356778302 | Jonathan Crosby | Physician Assistant | 729 N Medical Center Drive West Suite 101, Clovis, CA 93611 | 2013-10-07 |
1093142697 | Stacey Melissa Montes | Nurse Practitioner | 729 N Medical Ctr Dr West, Suite 205, Clovis, CA 93611 | 2013-09-27 |
1538594163 | Carly Bren Lepp | Physician Assistant | 2006 Shaw Avenue, Clovis, CA 93611 | 2013-09-13 |
1811246150 | Vishal Arya | Pharmacist | 2518 Austin Ave, Clovis, CA 93611 | 2012-08-31 |
1669757209 | Kiran V Atwal | Pharmacist | 1815 Herndon Ave--walgreens, Clovis, CA 93611 | 2011-10-14 |
1952615957 | Weight Away | Nutritionist | 1895 Herndon Ave, Suite 105, Clovis, CA 93611 | 2010-08-02 |
Find all providers in zip 93611 |
Taxonomy Code | 126800000X |
Grouping | Dental Providers |
Classification | Dental Assistant |
An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary. |
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356972897 | Nicole Hammes | Dental Assistant | 2497 Herndon Ave, Clovis, CA 93611-8976 | 2020-02-03 |
1275837866 | Leann Renee White | Dental Assistant | 1330 Shaw Ave Ste 103, Clovis, CA 93612-3985 | 2010-12-22 |
1912208901 | Fatimah Aisha Allen | Dental Assistant | 1330 Shaw Ave Ste 101, Clovis, CA 93612-3985 | 2010-11-08 |
1023321262 | Melanie Beth Quillen | Dental Assistant | 81 W San Jose Ave, Clovis, CA 93612-2460 | 2010-07-16 |
1225274400 | Christina M Vidal | Dental Assistant | 200 W Shaw, 110, Clovis, CA 93612 | 2008-12-18 |
1972064079 | Marie James | Dental Assistant | 1900 Shaw Ave Ste 101, Clovis, CA 93611-4209 | 2019-03-29 |
1003259839 | Hilda Jeanette Garza | Dental Assistant | 1330 Shaw Ave Ste 103, Clovis, CA 93612-3985 | 2013-04-11 |
1417293150 | Jodeci Rincon | Dental Assistant | 1330 Shaw Ave Ste 103, Clovis, CA 93612-3985 | 2012-12-28 |
1801186556 | West Coast Dental | Dental Assistant | 1330 Shaw Ave Ste 103, Clovis, CA 93612-3985 | 2011-04-14 |
1063725364 | Jesse Anthony Padilla | Dental Assistant | 200 W Shaw Ave Ste 110, Clovis, CA 93612-3684 | 2010-07-15 |
Find all providers in CLOVIS |
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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.