SHANDRA BROOKS (NPI# 1629427596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629427596 |
| Entity Type | Individual |
| Full Name | SHANDRA BROOKS |
| Practice Address |
Bldg 2441 21st Street Us Army Dental Activity Fort Campbell KY 42223 |
| Practice Telephone | 2707988977 |
| Practice Fax Number | 2709560266 |
| Mailing Telephone | 2707988977 |
| Mailing Fax Number | 2709560266 |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2016-06-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 4921 | TN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295916245 | Shandra D. Brooks | Licensed Vocational Nurse | 2555 E Colorado Blvd, Suite 100, Pasadena, CA 91107-6622 | 2007-11-19 |
| Street Address |
BLDG 2441 21ST STREET US ARMY DENTAL ACTIVITY |
| City | FORT CAMPBELL |
| State | KY |
| Zip Code | 42223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093795122 | Mark Newton Mcdonald | Dentist | Bldg 2441 21st Street, Usa Dentac, Fort Campbell, KY 42223-5369 | 2006-01-17 |
| 1497208730 | Linzi Ralph | Dental Hygienist | Bldg 2441 21st Street, Us Army Dental Activity, Fort Campbell, KY 42223 | 2016-08-03 |
| 1285085712 | Christine Troester | Dental Assistant | Bldg 2441 21st Street, Us Army Dental Activity, Fort Campbell, KY 42223 | 2016-06-27 |
| 1275984791 | Selma Frey | Dental Assistant | Bldg 2441 21st Street, Us Army Dental Activity, Fort Campbell, KY 42223 | 2016-06-27 |
| 1427409275 | Alesha Howard | Dental Assistant | Bldg 2441 21st Street, Us Army Dental Activity, Fort Campbell, KY 42223 | 2016-06-23 |
| 1629428610 | Tandalaya Strickland | Dental Assistant | Bldg 2441 21st Street, Us Army Dental Activity, Fort Campbell, KY 42223 | 2016-06-21 |
| 1588014575 | Ashley Kwasney | Dental Assistant | Bldg 2441 21st Street, Us Army Dental Activity, Fort Campbell, KY 42223 | 2016-06-21 |
| 1326498866 | Sandra Bowers | Dental Hygienist | Bldg 2441 21st Street, Us Army Dental Activity, Fort Campbell, KY 42223 | 2016-06-15 |
| 1093165532 | Vickie Simdon | Dental Hygienist | Bldg 2441 21st Street, Us Army Dental Activity, Fort Campbell, KY 42223 | 2016-06-15 |
| 1316397854 | Gisele Spasbo | Dental Assistant | Bldg 2441 21st Street, Us Army Dental Activity, Fort Campbell, KY 42223 | 2016-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978825 | Eden Addisu Kebede | Social Worker | Ft. Campbell/bach, 650 Joel Drive, Fort Campbell, KY 42223 | 2020-09-30 |
| 1174134662 | Lucas Pepper | Dentist | Desert Storm Ave, Bldg 5580, Apo, AA 42223 | 2020-08-10 |
| 1639711203 | Travis Robert Bryant | Optometrist | 5979 Desert Storm Ave., Lapointe Health Clnic Optometry, Ft. Campbell, KY 42223 | 2019-10-15 |
| 1184138232 | Vanessa Renee Simmons | Dental Assistant | 302b Baker St, Fort Campbell, KY 42223 | 2017-11-28 |
| 1922451996 | Isabella Julson | Dental Assistant | Bldg2441 21st Street, Us Army Dental Activity, Fort Campbell, KY 42223 | 2016-07-14 |
| 1336595305 | Heidi Cameron | Acupuncturist | 2889b Idaho Avenue, Fort Campbell, KY 42223 | 2016-05-10 |
| 1649644154 | Nathan Silvey | Physician Assistant | Building 4179, Fort Campbell, KY 42223 | 2015-11-20 |
| 1396145306 | Blanchfield Army Community Hospital | Clinic/Center | Bldg 2403, Air Assault St and Indiana Ave, Fort Campbell, KY 42223 | 2014-08-27 |
| 1275948564 | Rodney C Merkley | Psychologist | Building 3929, Ft. Capmbell, KY 42223 | 2014-06-25 |
| 1659785053 | Blanchfield Army Community Hospital | Clinic/Center | Bldg 6747 A Shau Valley Road, Fort Campbell, KY 42223 | 2014-06-13 |
| Find all providers in zip 42223 | ||||
| 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 |
|---|---|---|---|---|
| 1710597331 | Amber Archey | Dental Hygienist | 2441 21st St, Fort Campbell, KY 42223-5582 | 2020-08-07 |
| 1548745805 | Kalyn Stevison | Dental Hygienist | 2441 21st St, Fort Campbell, KY 42223-5582 | 2018-10-02 |
| 1497208730 | Linzi Ralph | Dental Hygienist | Bldg 2441 21st Street, Us Army Dental Activity, Fort Campbell, KY 42223 | 2016-08-03 |
| 1528418506 | Casey Gardner | Dental Hygienist | 2441 21st St, Fort Campbell, KY 42223-5582 | 2016-06-21 |
| 1326498866 | Sandra Bowers | Dental Hygienist | Bldg 2441 21st Street, Us Army Dental Activity, Fort Campbell, KY 42223 | 2016-06-15 |
| 1093165532 | Vickie Simdon | Dental Hygienist | Bldg 2441 21st Street, Us Army Dental Activity, Fort Campbell, KY 42223 | 2016-06-15 |
| 1760832489 | Leslie Kidd | Dental Hygienist | Bldg 2441 21st Street, Us Army Dental Activity, Fort Campbell, KY 42223 | 2016-06-14 |
| 1992155642 | Fredrika Garrett | Dental Hygienist | Bldg 2441 21st Street, Us Army Dental Activity, Fort Campbell, KY 42223 | 2016-06-14 |
| 1043669914 | Kandi Pope | Dental Hygienist | Bldg 2441 21st Street, Us Army Dental Activity, Fort Campbell, KY 42223 | 2016-06-10 |
| 1336598200 | Carrie Taggart | Dental Hygienist | Bldg 2441 21st Street, Us Army Dental Activity, Fort Campbell, KY 42223 | 2016-06-10 |
| Find all providers in FORT CAMPBELL | ||||
| City | FORT CAMPBELL |
| Zip Code | 42223 |
Please comment or provide details below to improve the information on SHANDRA BROOKS.
| 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.