ALYSIA MAE FISHER (NPI# 1629551098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629551098 |
| Entity Type | Individual |
| Full Name | ALYSIA MAE FISHER |
| Credential | RDH |
| Practice Address |
601 State Road 35 Centuria WI 54824-9014 |
| Mailing Address |
1446 243rd Ave Luck WI 54853-6000 |
| Practice Telephone | 7156462161 |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2018-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 10140-16 | WI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013543883 | Alysia Elizabeth Fisher | Speech-Language Pathologist | 112 S Pine St, Eldon, MO 65026-1581 | 2020-03-12 |
| Street Address |
601 STATE ROAD 35 |
| City | CENTURIA |
| State | WI |
| Zip Code | 54824-9014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407141849 | Deborah K Kuntz | Dentist | 601 State Road 35, Centuria, WI 54824-9014 | 2011-06-14 |
| 1922664648 | Morgan Clemenson | Dentist | 601 State Road 35, Centuria, WI 54824-9014 | 2019-05-17 |
| 1396104097 | Georgeann C. Vargas Dds, Ltd | Clinic/Center | 601 State Road 35, Centuria, WI 54824-9014 | 2016-02-23 |
| 1073992558 | Georgeann Vargas | Dentist | 601 State Road 35, Centuria, WI 54824-9014 | 2015-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568511095 | Jodi Ann Bergstrom | Optometrist | 416 Superior Avenue, Centuria, WI 54824 | 2007-01-10 |
| 1528539004 | Donna Lynn Johnson | Nurse Practitioner | 100 Polk County Plaza, Suite 50, Balsam Lake, WI 54824 | 2018-12-10 |
| 1538296363 | Valley View Vision Sc | Optometrist | 416 Superior Avenue, Centuria, WI 54824 | 2007-02-28 |
| 1699002956 | David Desales Markert | Psychologist | 120 Fourth Street, Centuria, WI 54824-0398 | 2009-11-06 |
| 1710039581 | Paul Allen Hauge | Dentist | 601 6th St Hwy 35, Centuria, WI 54824-0459 | 2007-01-18 |
| 1699821470 | Paul A. Hauge, Dds, Ltd | Dentist | 601 6th St Hwy 35, Centuria, WI 54824-0459 | 2007-01-26 |
| 1023356896 | Kindred Spirits Home Health Agency LLC | Custodial Care Facility | 611 4th St, Centuria, WI 54824-9032 | 2013-01-29 |
| 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 |
|---|---|---|---|---|
| 1639786551 | Maggie Hall | Dental Hygienist | 2633 Development Dr. Ste 40, Green Bay, WI 54311 | 2020-09-24 |
| 1659983914 | Rachel Benck | Dental Hygienist | 1089 174th St, Hammond, WI 54015-4831 | 2020-08-18 |
| 1619594710 | Vanessa Jane Loertscher | Dental Hygienist | 103 W. Mcmillan St., Marshfield, WI 54449-3502 | 2020-07-06 |
| 1881242535 | Michelle Amanda Shalander | Dental Hygienist | 308 S 1st Street, Luck, WI 54853 | 2019-08-27 |
| 1689130437 | Theresa Marcie Mock | Dental Hygienist | 8669 Airport Rd, Middleton, WI 53562-4147 | 2019-02-18 |
| 1598229866 | Tonya Marie Evjen | Dental Hygienist | N3615 County Road G, Ladysmith, WI 54848-9389 | 2019-01-30 |
| 1922571884 | Erin Kaye Fandre | Dental Hygienist | 111 W Jackson Street, Third Floor, Wisconsin Rapids, WI 54495-3338 | 2019-01-03 |
| 1790256246 | Heather Renee Walker | Dental Hygienist | 1344 Creston Park Dr Ste 2, Janesville, WI 53545-1113 | 2018-12-10 |
| 1730657974 | Anne Chianello | Dental Hygienist | 11643 47th Ave, Pleasant Prairie, WI 53158-3618 | 2018-11-06 |
| 1891263216 | Stephanie Rice | Dental Hygienist | N4008 Morgan Dr, Waupaca, WI 54981 | 2018-11-03 |
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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.