KIMBERLY CONNELL (NPI# 1568814887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568814887 |
| Entity Type | Individual |
| Full Name | KIMBERLY CONNELL |
| Credential | RDH |
| Practice Address |
11582 C St Joint Base Lewis-mcchord WA 98433 |
| Practice Telephone | 2539674989 |
| Mailing Telephone | 2539674989 |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2016-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 7822 | NC | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144538687 | Kimberly Yarbrough Connell | Pharmacist | 816 Gordon Ave, Thomasville, GA 31792-6611 | 2010-09-17 |
| Street Address |
11582 C ST, |
| City | JOINT BASE LEWIS-MCCHORD |
| State | WA |
| Zip Code | 98433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739881 | Bryonna Floyd | Dental Assistant | 11572 17th & C Street, Joint Base Lewis-mcchord, WA 98433 | 2020-08-07 |
| 1790393213 | Matthew T Ellison | Dentist | Dental Clinic 2, 3740 South 14th St., Joint Base Lewis-mcchord, WA 98433 | 2020-07-21 |
| 1952933251 | Julie Kristen Dutler | Dental Hygienist | 11572 C St, Jblm, WA 98433 | 2020-02-05 |
| 1881224806 | James Eric Carvelli | Dental Assistant | 11572 17th Street & C Street, Joint Base Lewis Mcchord, WA 98433 | 2020-01-17 |
| 1245891019 | Tanya Latrell Lesane | Counselor | 9924b W. Johnson St, Joint Base Lewis0mcchord, WA 98433 | 2019-06-24 |
| 1740844224 | Allison Tracy Bertoni | Student in an Organized Health Care Education/Training Program | 3740 South 14th Street, Joint Base Lewis-mcchord, WA 98433 | 2019-04-30 |
| 1124682448 | Lori Ann Sage | Registered Nurse | Building 11582, 17th & C Street, Joint Base Lewis-mcchord, WA 98433 | 2019-04-23 |
| 1639645997 | Emily Elisabeth Armstrong | Emergency Medical Technician, Paramedic | 3370 Evergreen Ave, Jblm, WA 98433 | 2018-10-15 |
| 1982182101 | Won Kyung Yang | Dentist | 11582 C St., Jblm, WA 98433 | 2018-07-31 |
| 1205325966 | Gloria Judith Penate I | Dental Hygienist | 2103 North Division Street, Tacoma, WA 98433 | 2018-05-08 |
| Find all providers in zip 98433 | ||||
| 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 |
|---|---|---|---|---|
| 1942807755 | Karen Sloat Parker | Dental Hygienist | 1014 12th Ave N, Edmonds, WA 98020-2511 | 2020-10-05 |
| 1255948030 | Adisa Salaka | Dental Hygienist | 14335 Simonds Rd Ne Apt A303, Kirkland, WA 98034-9277 | 2020-09-25 |
| 1790391951 | Ann Marie O'connor | Dental Hygienist | 620 Glen St Apt 302, Edmonds, WA 98020-3236 | 2020-09-22 |
| 1396359691 | Lindsey Marie Tennant-moore | Dental Hygienist | 6515 5th Ave Ne Apt 202, Seattle, WA 98115-6451 | 2020-09-03 |
| 1356952568 | Stephanie Kleinbrook | Dental Hygienist | 1455 James St, Bellingham, WA 98225-4943 | 2020-08-11 |
| 1639789787 | Catrice Opichka | Dental Hygienist | 1118 Hilty Ln, Bow, WA 98232-9544 | 2020-08-04 |
| 1487272860 | Diedre Snow Hill | Dental Hygienist | 1950 Pottery Ave Ste 170, Port Orchard, WA 98366-2591 | 2020-07-11 |
| 1922621929 | Rebecca Rose | Dental Hygienist | 4532 Dyes Inlet Rd Nw, Bremerton, WA 98312-1410 | 2020-05-26 |
| 1053946673 | Jessica Maree Carnes | Dental Hygienist | 6505 Nw Cherry Street, Vancouver, WA 98663 | 2020-03-04 |
| 1952933251 | Julie Kristen Dutler | Dental Hygienist | 11572 C St, Jblm, WA 98433 | 2020-02-05 |
| Find all providers with the same taxonomy | ||||
| City | JOINT BASE LEWIS-MCCHORD |
| Zip Code | 98433 |
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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.