KIMBERLY D WILSON (NPI# 1447772124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447772124 |
| Entity Type | Individual |
| Full Name | KIMBERLY D WILSON |
| Practice Address |
4941 Olivehurst Ave Olivehurst CA 95961-4225 |
| Mailing Address |
935 Market St Yuba City CA 95991-4217 |
| Practice Telephone | 5307434614 |
| Mailing Telephone | 9162922377 |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2020-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 24554 | CA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2240 E. Winrow Ave, Us Army Dental Clinic Command, Fort Huachauca, AA 85613 | 5205333144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407465420 | Kimberly Frances Wilson | Doula | 6911 Deorsam Loop, Killeen, TX 76542-6377 | 2020-07-26 |
| 1689132250 | Kimberly Jo Wilson | Registered Nurse | 3765 King Rd, Saginaw, MI 48601-7146 | 2019-03-03 |
| 1265905038 | Kimberly Ann Wilson | Speech-Language Pathologist | 658 Lions Gate Ln, Odenton, MD 21113-1490 | 2019-01-04 |
| 1114462793 | Kimberly Wilson | Social Worker | 1820 T St Nw Apt 2, Washington, DC 20009-7144 | 2017-01-05 |
| 1841749439 | Kimberly Ann Wilson | Nurse Practitioner | 4333 S 172nd East Ave, Tulsa, OK 74134-7281 | 2016-09-24 |
| 1700246709 | Kimberly Moss Wilson | Counselor | 1116 E Ponce De Leon Ave, Decatur, GA 30030-2711 | 2016-03-03 |
| 1427451939 | Kimberly Wilson | Occupational Therapist | 6608 Covington Cv, Canfield, OH 44406-8161 | 2014-09-29 |
| 1083036701 | Kimberly Wilson | Social Worker | 6210 Belcrest Rd Apt 1228, Hyattsville, MD 20782-2967 | 2014-01-15 |
| 1801220579 | Kimberly Patrice Wilson | Counselor | 205 North Liberty St, Centreville, MD 21617 | 2013-08-29 |
| 1164795704 | Kimberly Renee Wilson | Speech-Language Pathologist | 107 S Keswick Ave, Glenside, PA 19038-4509 | 2012-02-13 |
| Street Address |
4941 OLIVEHURST AVE |
| City | OLIVEHURST |
| State | CA |
| Zip Code | 95961-4225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356325120 | Karl F. Valrey | Internal Medicine | 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 | 2005-12-05 |
| 1790229391 | Srikanth Kolli | Chiropractor | 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 | 2016-12-15 |
| 1932579943 | Sara Marie Skinner | Nurse Practitioner | 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 | 2015-10-02 |
| 1346510419 | Kaneshka Alamshahi | Family Medicine | 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 | 2012-01-06 |
| 1609195270 | Tiffany N Winters | Dental Hygienist | 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 | 2010-05-21 |
| 1396981692 | Gursharon Kaur Gill | Dental Hygienist | 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 | 2008-12-17 |
| 1356443485 | Huy Q Phung | Family Medicine | 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 | 2006-09-01 |
| 1053423202 | Harpreet K Johl | Family Medicine | 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 | 2006-08-31 |
| 1407875487 | Indira Grey | Physician Assistant | 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 | 2006-07-19 |
| 1073532479 | Francisco Hernandez Martinez | Physician Assistant | 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 | 2006-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225596315 | Shelby Marie Mclaughlin | Counselor | 471 Century Park Drive B, Yuba City, CA 95961 | 2019-03-07 |
| 1780125583 | Elia Moreno Thomas | Counselor | 1754 Skinner Ave, Olivehurst, CA 95961 | 2017-03-13 |
| 1356652549 | Hyesung Han | Pharmacist | 5075 Olivehurst Ave, Olivehurst, CA 95961 | 2010-06-23 |
| 1225283195 | Pao Choua Lor | Driver | 4552 Meadow Wy, Olivehurst, CA 95961 | 2008-11-19 |
| 1235385725 | Thera Lynn Hampton | Specialist | 1345 Lady Fern St., Plumas Lake, CA 95961 | 2008-08-15 |
| 1841444049 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 5075 Olivehurst Avenue, Olivehurst, CA 95961-4023 | 2008-11-14 |
| 1699382192 | Ryan Sauer | Pharmacist | 5075 Olivehurst Ave, Olivehurst, CA 95961-4023 | 2020-09-28 |
| 1649721648 | Vandana Chaudhari | Pharmacist | 5075 Olivehurst Ave, Olivehurst, CA 95961-4023 | 2016-10-14 |
| 1679880850 | Tilak Baviskar | Pharmacist | 5075 Olivehurst Ave, Olivehurst, CA 95961-4023 | 2010-09-08 |
| 1255464871 | Olivehurst Drug Store Inc | Pharmacy | 4897 Olivehurst Ave, Olivehurst, CA 95961-4225 | 2007-03-13 |
| Find all providers in zip 95961 | ||||
| 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 |
|---|---|---|---|---|
| 1609195270 | Tiffany N Winters | Dental Hygienist | 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 | 2010-05-21 |
| 1396981692 | Gursharon Kaur Gill | Dental Hygienist | 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 | 2008-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841046 | Betty Satomi Fukumoto | Dental Hygienist | 16008 S Manhattan Pl, Gardena, CA 90247-3681 | 2020-11-08 |
| 1417558180 | Maria Antonette De Lara Kim | Dental Hygienist | 66 S San Gorgonio Ave Ste 5, Banning, CA 92220-6020 | 2020-11-07 |
| 1083215982 | Sokbunntha Yan | Dental Hygienist | 5810 Fidler Ave, Lakewood, CA 90712-1251 | 2020-11-06 |
| 1649871914 | Maryam Ghahramani Shahneshin | Dental Hygienist | 1961 Grove Pl, Escondido, CA 92027-4101 | 2020-11-04 |
| 1285234047 | Maryann Detar | Dental Hygienist | 3154 Alum Rock Ave, San Jose, CA 95127-2903 | 2020-10-29 |
| 1194325597 | Connie Lim Good | Dental Hygienist | 14th Street Bldg 13128, Oceanside, CA 92055 | 2020-10-27 |
| 1336748896 | Cynthia Garcia Macdougall | Dental Hygienist | 444 Hermosa Ave Apt 302, Hermosa Beach, CA 90254-4433 | 2020-10-25 |
| 1346849163 | Ambrosia Evon Steljes | Dental Hygienist | Building 13128 14th Street, Camp Pendleton, CA 92055-5221 | 2020-10-22 |
| 1427657261 | Julie Lynn March | Dental Hygienist | 19871 Mitscher Way Bldg 2495, San Diego, CA 92145-5103 | 2020-10-22 |
| 1386243327 | Leticia Isabel Alcantar | Dental Hygienist | Bldg 520448, Camp Pendleton, CA 92055 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | OLIVEHURST |
| Zip Code | 95961 |
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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.