KELLI MARIE FENA (NPI# 1598237307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598237307 |
| Entity Type | Individual |
| Full Name | KELLI MARIE FENA |
| Credential | DH |
| Practice Address |
1613 Farm Rd S Tower MN 55790-5579 |
| Mailing Address |
5219 Saint John Dr Orr MN 55771-8232 |
| Practice Telephone | 2187532182 |
| Mailing Telephone | 2187573650 |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2018-12-19 |
| 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 |
1613 FARM RD S |
| City | TOWER |
| State | MN |
| Zip Code | 55790-5579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750907010 | Bois Forte Reservation Tribal Government | Pharmacy | 1613 Farm Rd S, Tower, MN 55790-5579 | 2020-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144765843 | Bois Forte Reservation Tribal Government | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1224 White Pine Cir, Tower, MN 55790 | 2017-01-04 |
| 1437691417 | Vermilion Pharmacy | Clinic/Center | 1613 Farm Rd. South, Tower, MN 55790 | 2016-11-08 |
| 1669846176 | Emily A. Barto | Counselor | 1613 Farm Rd South, Tower, MN 55790 | 2015-11-20 |
| 1144664202 | Megan Dawn Flannigan | Pharmacist | 1613 Farm Road South, Tower, MN 55790 | 2013-04-19 |
| 1023339140 | Emily Marie Hadrava | Nurse Practitioner | 415 N 2nd St Suite 2, Cook Area Health Services, Inc, Tower, MN 55790 | 2010-06-14 |
| 1538371117 | Bois Forte Reservation Tribal Council | Clinic/Center | 1195 County Road 77, Tower, MN 55790 | 2007-05-04 |
| 1629319561 | Cook Area Health Services, Inc | Non-Pharmacy Dispensing Site | 415 N 2nd St, Suite 2, Tower, MN 55790 | 2013-03-01 |
| 1750633806 | Cook Area Health Services, Inc. | Clinic/Center | 415 N 2nd St, Suite 2, Tower, MN 55790 | 2012-10-12 |
| 1295951309 | City of Tower | Ambulance | 602 Main Street, Tower, MN 55790 | 2007-04-17 |
| 1699832410 | Bruce Arthur Baker | Dentist | 415 N 2nd St, Suite 2 D, Tower, MN 55790-0417 | 2007-01-02 |
| Find all providers in zip 55790 | ||||
| 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 |
|---|---|---|---|---|
| 1104440825 | Sara Marie Anderson | Dental Hygienist | 6213 Saint Croix Trl N Apt 208, Oak Park Heights, MN 55082-6967 | 2020-05-29 |
| 1760027460 | Claire Roesler | Dental Hygienist | 903 Center St W # 103, Rochester, MN 55902-6278 | 2019-11-18 |
| 1225689060 | Kylie Anderson | Dental Hygienist | 903 Center St W Ste 130, Rochester, MN 55902-6278 | 2019-09-23 |
| 1770130387 | Sandra Kay Weitemier | Dental Hygienist | 25555 Gramford Ave, Wyoming, MN 55092-9356 | 2019-08-20 |
| 1912552803 | Gabrielle Anne Yoon | Dental Hygienist | 321 Labree Ave N, Thief River Falls, MN 56701-2019 | 2019-08-07 |
| 1841758851 | Susan Janine Ferrell | Dental Hygienist | East Side Dental, 895 East 7th Street, St Paul, MN 55106 | 2019-03-08 |
| 1619435682 | Maureen O'sullivan | Dental Hygienist | 385 S Owasso Blvd W, Roseville, MN 55113-2119 | 2019-03-07 |
| 1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
| 1053829721 | Rhonda Jean Schwalbe | Dental Hygienist | 727 4th St N, Virginia, MN 55792-2369 | 2018-01-16 |
| 1134631203 | Beth A Schmid | Dental Hygienist | Red Lake Comprehensive Health Service, 24760 Hospital Drive, Redlake, MN 56671-5667 | 2017-10-30 |
| Find all providers with the same taxonomy | ||||
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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.