MRS. TOMMIE JANAE KELL (NPI# 1508341694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508341694 |
Entity Type | Individual |
Full Name | MRS. TOMMIE JANAE KELL |
Credential | EPDH |
Practice Address |
235 W Main St Fl 2 Jacksonville OR 97530-9278 |
Mailing Address |
Po Box 816 Jacksonville OR 97530-0816 |
Practice Telephone | 5418176453 |
Mailing Telephone | 5418176453 |
Enumeration Date | 2018-09-25 |
Last Update Date | 2018-09-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | H6066 | OR | Dental Providers |
Street Address |
235 W MAIN ST FL 2 |
City | JACKSONVILLE |
State | OR |
Zip Code | 97530-9278 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083112957 | Cody Moss | Chiropractor | 660 G St Ste A, Jacksonville, OR 97530 | 2018-01-25 |
1659819621 | Denise Alane Davis | Nurse Practitioner | 115 Ponderosa Way, Jacksonville, OR 97530 | 2017-02-09 |
1831640192 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 8336 Highway 62, White City, OR 97530 | 2016-10-20 |
1023444502 | Rebecca Lynne Giudili | Behavioral Analyst | 1425 Humbug Ck Rd, Jacksonville, OR 97530 | 2013-09-17 |
1487922381 | Ashley Rose Merrill | Midwife | 235 E. Main St., Jacksonville, OR 97530 | 2011-12-06 |
1518135334 | Lynn Ellen Reordan | Physical Therapist | 635 N. 5th St., Jacksonville, OR 97530 | 2008-02-14 |
1821289984 | Nathan M Tanner | Dentist | 725 N 5th St Ste 101, Jacksonville, OR 97530 | 2007-08-05 |
1467667139 | Diana K Helvey | Denturist | 590 Blackstone Alley, Jacksonville, OR 97530 | 2007-05-14 |
1902027295 | Michelle Dawn Bienick | Naprapath | 1881 Humbug Creek Rd, Applegate, OR 97530 | 2007-05-02 |
1821121526 | Anne Marie Vincent | Chiropractor | 7370 Hwy 238, Jacksonville, OR 97530 | 2007-03-13 |
Find all providers in zip 97530 |
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 |
---|---|---|---|---|
1962012328 | Melody Jean Garcia | Dental Hygienist | Navy Medicene Support Command : Medical Staff Services, Bldg H, 2005 Knight Lane, Jacksonville, FL 32221-0140 | 2020-07-31 |
1659918985 | Iris E Fernandezregis | Dental Hygienist | Medical Staff Svcs, Bldg H 2005 Knight Lane, Jacksonville, FL 32212-0140 | 2019-12-05 |
1457759722 | Yue Wang | Dental Hygienist | 554 Keily Street - Bureau of Medicine and Surgery, Credentialing and Privileging, Jacksonville, FL 32212 | 2014-12-18 |
1295132017 | Trupti Patel | Dental Hygienist | 554 Keily St - Bureau of Medicine and Surgery, Certralized Credentials, Jacksonville, FL 32212 | 2014-11-21 |
1497185060 | Kelly Pickton | Dental Hygienist | 554 Keily St Bumed Ccp Directorate, Jacksonville, FL 32212 | 2013-11-19 |
1073866679 | Aubrie Leigh Tanner | Dental Hygienist | 7933 Baymeadows Way Ste 5, Jacksonville, FL 32256-7514 | 2012-10-19 |
1336492024 | Donna Mahacek | Dental Hygienist | 2764 Sebastian Ct, Jacksonville, FL 32224-2896 | 2012-10-18 |
1457518755 | Patricia Louise Jakubec | Dental Hygienist | 13226 Moby Dick Dr W, Jacksonville, FL 32218-2891 | 2008-05-22 |
1659464055 | Ernesto Aleniado Soberano | Dental Hygienist | 301 Preston Rd, Jacksonville, NC 28540-5656 | 2006-09-30 |
1629616636 | Maria Kiana Rogers | Dental Hygienist | Navy Medicine Support Command Attn: Medical Staff Svcs, Bldg H 2005 Knight Lane, Jacksonville, FL 32212-0140 | 2019-12-20 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 97530 |
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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.