NICOLE MAHAN (NPI# 1396242178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396242178 |
| Entity Type | Individual |
| Full Name | NICOLE MAHAN |
| Credential | RDH |
| Practice Address |
3140 Clearwater Dr Prescott AZ 86305-7131 |
| Practice Telephone | 9284455959 |
| Practice Fax Number | 9284455958 |
| Mailing Telephone | 9284455959 |
| Mailing Fax Number | 9284455958 |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2018-04-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | H007639 | AZ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205349701 | Nicole Mahan | Counselor | 2067 Stephen St, Aurora, IL 60502-7173 | 2017-11-07 |
| 1770948671 | Nicole Mahan | Specialist/Technologist | 24 Fawn Hollow Ln, Mullica Hill, NJ 08062-2819 | 2015-12-18 |
| Street Address |
3140 CLEARWATER DR |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86305-7131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356678650 | Hannah B Peterson | Dental Hygienist | 3140 Clearwater Dr, Prescott, AZ 86305-7131 | 2009-11-06 |
| 1356879373 | Margaret Elizabeth Layton | Dental Hygienist | 3140 Clearwater Dr, Prescott, AZ 86305-7131 | 2017-06-03 |
| 1376085563 | Leticia Montes | Dental Hygienist | 3140 Clearwater Dr, Prescott, AZ 86305-7131 | 2016-11-06 |
| 1003212135 | Denise Cartier | Dental Hygienist | 3140 Clearwater Dr, Prescott, AZ 86305-7131 | 2014-11-17 |
| 1063788768 | Ryan S. Brown, Dds Pllc | Clinic/Center | 3140 Clearwater Dr, Prescott, AZ 86305-7131 | 2012-03-27 |
| 1215210984 | Laurie Mitchell Allen | Dental Hygienist | 3140 Clearwater Dr, Prescott, AZ 86305-7131 | 2011-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972005395 | Granite View Adult Care Home LLC | Assisted Living Facility | 7105 Williamson Valley Road, Prescott, AZ 86305 | 2018-03-01 |
| 1215468095 | Valerie Williams | Occupational Therapist | 926 S. Hinman Dr., Prescott, AZ 86305 | 2017-03-23 |
| 1174073837 | Caspian Gleam Medical Center LLC | Clinic/Center | 3130 Stillwater Drive, Suite B, Prescott, AZ 86305 | 2016-10-06 |
| 1114388634 | Marla Beth Perkins | Speech-Language Pathologist | 3160 Stillwater Dr., Prescott, AZ 86305 | 2016-03-10 |
| 1790159853 | Michele A. Bibeau, D.d.s. | Dentist | 1058 Fair Street, Suite A, Prescott, AZ 86305 | 2015-11-30 |
| 1609264837 | Integrative Pain Centres of Prescott | Pain Medicine | 3769 Crossings Drive, Suite B, Integrative Pain Centres of Prescott, Prescott, AZ 86305 | 2014-12-22 |
| 1649697251 | Sharon Marilyn Jackson | Counselor | 3636 Crossings Drive, Prescott, AZ 86305 | 2014-03-20 |
| 1215351259 | Stefanie Maneval | Registered Nurse | 900 Iron Springs Rd, Prescott, AZ 86305 | 2014-02-11 |
| 1508207523 | Recovery In The Pines, LLC | Community/Behavioral Health | 919 12th Place #13, Prescott, AZ 86305 | 2013-07-08 |
| 1871857359 | Neal Herbert Segovia Cabaluna | Internal Medicine | 3773 Crossings Dr Ste C, Prescott, AZ 86305 | 2012-06-28 |
| Find all providers in zip 86305 | ||||
| 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 |
|---|---|---|---|---|
| 1942754577 | Katie Susan Flood | Dental Hygienist | 644 Antelope Loop, Prescott, AZ 86301-5733 | 2016-08-11 |
| 1821349374 | Mary Lewis | Dental Hygienist | 3160 Montana Dr, Prescott, AZ 86301-4627 | 2012-09-24 |
| 1356678650 | Hannah B Peterson | Dental Hygienist | 3140 Clearwater Dr, Prescott, AZ 86305-7131 | 2009-11-06 |
| 1356879373 | Margaret Elizabeth Layton | Dental Hygienist | 3140 Clearwater Dr, Prescott, AZ 86305-7131 | 2017-06-03 |
| 1376085563 | Leticia Montes | Dental Hygienist | 3140 Clearwater Dr, Prescott, AZ 86305-7131 | 2016-11-06 |
| 1043681927 | Rebecca Howard | Dental Hygienist | 500 N Us Highway 89, Prescott, AZ 86313-5001 | 2015-10-16 |
| 1003212135 | Denise Cartier | Dental Hygienist | 3140 Clearwater Dr, Prescott, AZ 86305-7131 | 2014-11-17 |
| 1215210984 | Laurie Mitchell Allen | Dental Hygienist | 3140 Clearwater Dr, Prescott, AZ 86305-7131 | 2011-09-20 |
| 1205038007 | Nissa Mikkelsen | Dental Hygienist | Northern Arizona Va Hcs, 500 N. Hwy 89, Prescott, AZ 86313 | 2007-06-04 |
| 1821195298 | Mary Jane Milbyer | Dental Hygienist | Northern Arizona Va Hcs, Prescott, AZ 86313 | 2006-09-20 |
| Find all providers in PRESCOTT | ||||
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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.