MRS. SHIRL SIMKINS I (NPI# 1407380033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407380033 |
| Entity Type | Individual |
| Full Name | MRS. SHIRL SIMKINS I |
| Credential | R.D.H. |
| Practice Address |
2920 N 4th St Flagstaff AZ 86004-1816 |
| Practice Telephone | 9282136100 |
| Practice Fax Number | 9285229537 |
| Mailing Telephone | 9282136100 |
| Mailing Fax Number | 9285229537 |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2017-04-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | Dental Providers |
| Street Address |
2920 N 4TH ST |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86004-1816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831192913 | Karen Holder | Nurse Practitioner | 2920 N 4th St, Flagstaff, AZ 86004-1816 | 2005-05-23 |
| 1205433646 | Alma Araiza | Dental Hygienist | 2920 N 4th St, Flagstaff, AZ 86004-1816 | 2020-10-08 |
| 1235742875 | Joseph Ijeomah Nnani | Pharmacist | 2920 N 4th St, Flagstaff, AZ 86004-1816 | 2020-08-24 |
| 1881202976 | Tasha Harder | Student in an Organized Health Care Education/Training Program | 2920 N 4th St, Flagstaff, AZ 86004-1816 | 2020-07-15 |
| 1518585181 | Elizabeth Curtiss | Student in an Organized Health Care Education/Training Program | 2920 N 4th St, Flagstaff, AZ 86004-1816 | 2020-07-10 |
| 1669007043 | Raquel Ann Mickelson | Counselor | 2920 N 4th St, Flagstaff, AZ 86004-1816 | 2020-03-06 |
| 1326671595 | Dana Michelle Morrison | Dental Hygienist | 2920 N 4th St, Flagstaff, AZ 86004-1816 | 2020-02-17 |
| 1396388740 | Lauren Marie Weinand | Family Medicine | 2920 N 4th St, Flagstaff, AZ 86004-1816 | 2019-10-17 |
| 1366098295 | Nicole Masako Paiva | Pharmacist | 2920 N 4th St, Flagstaff, AZ 86004-1816 | 2019-08-15 |
| 1346896271 | Randi Braak | Pharmacist | 2920 N 4th St, Flagstaff, AZ 86004-1816 | 2019-08-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598387805 | Michael Joseph Oxtoby | Counselor | 2625 N. King St., Flagstaff, AZ 86004 | 2020-05-08 |
| 1083264501 | Dazhoni Elizabeth Scott | Counselor | 1500 E. Cedar Avenue #26, 2110 N. East St Apt C, Flagstaff, AZ 86004 | 2019-09-17 |
| 1760948046 | Emily Bauerle | Social Worker | 3009 N West St, Flagstaff, AZ 86004 | 2019-02-12 |
| 1992295745 | Kaibab Behavioral Services, Pllc | Behavioral Analyst | 2323 E Greenlaw Lane, Suite 12a, Flagstaff, AZ 86004 | 2018-05-17 |
| 1083115364 | Sequelcare of Arizona | Community Based Residential Treatment Facility, Mental Illness | 8800 Marys Drive, Flagstaff, AZ 86004 | 2018-02-22 |
| 1710391081 | Janet Coleman | Hearing Instrument Specialist | 1851 E Butler Avenue, Flagstaff, AZ 86004 | 2014-06-16 |
| 1568703163 | Mercy Timoh | Pharmacist | 4255 E. Soliere Ave., Flagstaff, AZ 86004 | 2013-03-06 |
| 1053617217 | Scott Nichols | Veterinarian | 6122 Abineau Canyon Drive, Flagstaff, AZ 86004 | 2011-02-07 |
| 1366745218 | Karoline S. Mariano | Registered Nurse | 3480 East Route 66, Flagstaff, AZ 86004 | 2010-12-15 |
| 1912209719 | Payal Parekh | Pharmacist | 1500 E Cedar, Flagstaff, AZ 86004 | 2010-11-30 |
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| 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 |
|---|---|---|---|---|
| 1760096085 | Jerry Lee Collins Jr. | Dental Hygienist | 5205 E Cortland Blvd, Flagstaff, AZ 86004-9362 | 2020-09-03 |
| 1417560608 | Nicholette Congdon | Dental Hygienist | 208 E Knoles Drive, Flagstaff, AZ 86011-0001 | 2020-08-26 |
| 1093328437 | Ryan M Fisher | Dental Hygienist | 3300 S Gila Dr Apt 1, Flagstaff, AZ 86005-6537 | 2020-08-25 |
| 1043479108 | Fred Summerfelt | Dental Hygienist | 997 E Sterling Ln, Flagstaff, AZ 86001-6572 | 2008-06-04 |
| 1205433646 | Alma Araiza | Dental Hygienist | 2920 N 4th St, Flagstaff, AZ 86004-1816 | 2020-10-08 |
| 1124639851 | Cindy Barry | Dental Hygienist | 208 E Pine Knoll Dr, Flagstaff, AZ 86011-0001 | 2020-08-15 |
| 1326671595 | Dana Michelle Morrison | Dental Hygienist | 2920 N 4th St, Flagstaff, AZ 86004-1816 | 2020-02-17 |
| 1376033944 | Lydia Louise Cockayne | Dental Hygienist | 2920 N 4th St, Flagstaff, AZ 86004-1816 | 2018-05-18 |
| 1174071047 | Kimberly Scott-freeman | Dental Hygienist | 2920 N 4th St, Flagstaff, AZ 86004-1816 | 2016-09-20 |
| 1831647999 | Ryan Wood | Dental Hygienist | 2920 N 4th St, Flagstaff, AZ 86004-1816 | 2016-09-19 |
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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.