LAURA ALINE GOSSOM (NPI# 1609259258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609259258 |
| Entity Type | Individual |
| Full Name | LAURA ALINE GOSSOM |
| Credential | RDH |
| Practice Address |
5405 Bloomfield Rd Bardstown KY 40004-9195 |
| Practice Telephone | 2702825197 |
| Mailing Telephone | 2702825197 |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2015-07-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 2979 | KY | Dental Providers |
| Street Address |
5405 BLOOMFIELD RD |
| City | BARDSTOWN |
| State | KY |
| Zip Code | 40004-9195 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590880 | Flaget Healthcare, Inc | Clinic/Center | 4359 Shepherdsville Road, Ste 255, Bardstown, KY 40004 | 2020-08-28 |
| 1902421043 | Astra Recovery Centers, LLC | Substance Abuse Rehabilitation Facility | 202 Downs Lane, Bardstown, KY 40004 | 2020-06-15 |
| 1285296194 | Hardin Memorial Hospital | Pharmacy | 3615 E John Rowan Blvd, Bardstown, KY 40004 | 2019-07-01 |
| 1376024919 | Flaget Healthcare Inc | Clinic/Center | 110 N. Salem Drive, Bardstown, KY 40004 | 2018-08-22 |
| 1730697517 | Shannon Michelle Woods | Nurse Practitioner | 1095 Morton Ave, Bardstown, KY 40004 | 2018-01-16 |
| 1477922490 | Kristi Ballard | Counselor | 1000 E John Rowan Blvd Ste 107, Bardstown, KY 40004 | 2015-09-21 |
| 1659705309 | Patricia Hall | Speech-Language Pathologist | 310 South 6th Street, Bardstown, KY 40004 | 2013-08-29 |
| 1629314885 | Saint Joseph-anc Home Care Services, LLC | Hospice Care, Community Based | 711 Mcdowell Blvd, Bardstown, KY 40004 | 2012-12-17 |
| 1780920058 | Stars and Stripes Medical LLC | Durable Medical Equipment & Medical Supplies | 301 W. Stephen Foster Ave, Suite B., Bardstown, KY 40004 | 2012-12-14 |
| 1366790230 | Lynda Onyinyechi Uzonwune | Pharmacist | 202 West Stephen Foster Avenue, Bardstown, KY 40004 | 2012-08-26 |
| Find all providers in zip 40004 | ||||
| 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 |
|---|---|---|---|---|
| 1215554274 | Cheryl Lynn Kennedy | Dental Hygienist | 146 Whitman Way, Georgetown, KY 40324-8690 | 2020-06-25 |
| 1538675483 | Aimee Medders | Dental Hygienist | 968 1st Infantry Division Rd Bldg 2724, Fort Knox, KY 40121-5210 | 2017-12-14 |
| 1104277177 | Danielle Lynn Gerage | Dental Hygienist | 465 Monks Rd, New Haven, KY 40051-6195 | 2016-06-30 |
| 1598161127 | Carol Brenner | Dental Hygienist | 3312 Ellis Way, Louisville, KY 40220-1944 | 2014-11-10 |
| 1811290513 | Michelle Marie Hanke | Dental Hygienist | 4393 Jasmine Rose Way, Lexington, KY 40515-6351 | 2010-12-19 |
| 1841450749 | Melinda Marie Phillips | Dental Hygienist | 8250 Coppercreek Dr, Louisville, KY 40222-6820 | 2008-06-13 |
| 1366655193 | Belinda Denise Demond | Dental Hygienist | 1511 Kirkwood Dr, Murray, KY 42071-3222 | 2007-05-08 |
| 1548336985 | W Bruce Combest Psc | Dental Hygienist | 402 Richmond Rd, Suite C, Berea, KY 40403 | 2006-11-28 |
| 1710597331 | Amber Archey | Dental Hygienist | 2441 21st St, Fort Campbell, KY 42223-5582 | 2020-08-07 |
| 1720604630 | Shanda Jacobson | Dental Hygienist | 3111 Wall St, Lexington, KY 40513-9008 | 2020-06-17 |
| 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.