KELLY A GOULD (NPI# 1629587449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629587449 |
| Entity Type | Individual |
| Full Name | KELLY A GOULD |
| Credential | RDH |
| Practice Address |
2500 California Plaza Omaha NE 68178 |
| Practice Telephone | 4022805018 |
| Practice Fax Number | 4022805013 |
| Mailing Telephone | 4022805006 |
| Mailing Fax Number | 4022805094 |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2017-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 661 | NE | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386191823 | Kelly D Gould | Behavioral Analyst | 4954 Pebble Crk N Apt 6, Shelby Township, MI 48317-4893 | 2016-09-01 |
| 1265808620 | Kelly Gould | Health Educator | 308 West Smiser, Calera, OK 74730-5006 | 2015-08-19 |
| 1730305079 | Kelly Ann Gould | Counselor | 614 S. Mathews St, Fort Collins, CO 80521-3012 | 2007-04-17 |
| Street Address |
2500 CALIFORNIA PLAZA |
| City | OMAHA |
| State | NE |
| Zip Code | 68178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033611330 | Deborah Kay Belik | Specialist/Technologist | 2500 California Plaza, Omaha, NE 68178-0133 | 2018-03-02 |
| 1710486790 | Curtis Daniel Self | Specialist/Technologist | 2500 California Plaza, Omaha, NE 68178 | 2018-02-06 |
| 1669981338 | Ashley Nicole Aubry | Dental Hygienist | 2500 California Plaza, Omaha, NE 68178 | 2017-09-26 |
| 1790203941 | Lucinda Rose Carroll | Dentist | 2500 California Plaza, Omaha, NE 68178-0212 | 2017-09-07 |
| 1811415375 | Gerald Carl Brundo | Dentist | 2500 California Plaza, School of Dentistry Creighton University, Omaha, NE 68178 | 2017-09-05 |
| 1104082213 | Nicholas Jay Levering | Dentist | 2500 California Plaza, Creighton University School of Dentistry, Omaha, NE 68178 | 2008-07-29 |
| 1902920986 | Samuel Augustine | Pharmacist | 2500 California Plaza, Cu - Spahp Hixson Lied Science Building Rm 153, Omaha, NE 68178 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790993251 | Karen Anne Paschal | Physical Therapist | Department of Physical Therapy, Creighton University, 2500 California Plaza, Omaha, NE 68178 | 2007-05-18 |
| 1134499825 | Judith R Gale | Physical Therapist | 2500 California Plz, Creighton Pt, Harper Center, Fitnest Level 1, Omaha, NE 68178 | 2012-01-11 |
| 1245744101 | Aaron Michael Haselhorst | Specialist/Technologist | 701 Florence Blvd, Omaha, NE 68178-0001 | 2017-11-29 |
| 1407139132 | Creighton Universtity | Clinic/Center | 2500 Claifornia Plz, Omaha, NE 68178-0001 | 2011-09-20 |
| 1336396514 | Melinda Kay Graham-hinners | Psychologist | 602 N 20th Ste 1034, Creighton University, Center for Health & Counseling, Omaha, NE 68178-0001 | 2008-08-19 |
| 1528266012 | Michael Monaghan | Pharmacist | Creighton University Medical Center School of Pharmacy, 2500 California Plaza, Omaha, NE 68178-0001 | 2007-07-05 |
| 1659593242 | Lorraine Baas Rubarth | Nurse Practitioner | Creighton University School of Nursing, 2500 California Plaza, Omaha, NE 68178-0001 | 2007-05-03 |
| 1063533479 | Lawrence Calvin Parrish | Dentist | Creighton University School of Dentistry, 2500 California Plaza, Omaha, NE 68178-0001 | 2007-04-03 |
| 1366501058 | Mark A Malesker | Pharmacist | Creighton University Medical Ctr, 2500 California Plaza, Omaha, NE 68178-0001 | 2006-12-08 |
| 1760426258 | Matthew Edwin Wallace | Specialist/Technologist | Creighton Uniuversity, 2500 California Plaza, Omaha, NE 68178-0001 | 2006-06-15 |
| Find all providers in zip 68178 | ||||
| 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 |
|---|---|---|---|---|
| 1932714052 | Cherrell T Rogers | Dental Hygienist | 4229 N 90th St Ste 103, Omaha, NE 68134-4136 | 2020-09-15 |
| 1033681689 | Kara Lilienthal | Dental Hygienist | 6110 S 191st St, Omaha, NE 68135-4272 | 2018-12-20 |
| 1013403237 | Jason James Brisbin | Dental Hygienist | 13256 Emiline St, Omaha, NE 68138-6108 | 2018-07-11 |
| 1538527015 | Janet Clemens | Dental Hygienist | 801 N 96th St, Omaha, NE 68114-2504 | 2016-01-29 |
| 1255711677 | Ann Burbach | Dental Hygienist | 10730 Pacific St Ste 105, Omaha, NE 68114-4700 | 2015-06-01 |
| 1699173419 | Tama Trewet | Dental Hygienist | 985163 Nebraska Medical Ctr, Omaha, NE 68198-5163 | 2014-12-10 |
| 1598185878 | Marjean Marie Stamm | Dental Hygienist | 656 N 164th St, Omaha, NE 68118-2504 | 2014-04-24 |
| 1669725545 | Kerri Dittrich | Dental Hygienist | 16136 Cherrywood St, Omaha, NE 68136-1321 | 2012-10-17 |
| 1780996231 | Deneen Ann Glass | Dental Hygienist | 5318 N 97th Ave, Omaha, NE 68134-1614 | 2010-07-12 |
| 1356667018 | Kelli Lynne Kavan | Dental Hygienist | 6444 N 149th St, Omaha, NE 68116-4587 | 2010-04-20 |
| Find all providers in OMAHA | ||||
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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.