JACQUELINE PATRICK (NPI# 1659873453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659873453 |
Entity Type | Individual |
Full Name | JACQUELINE PATRICK |
Practice Address |
9900 Lincoln Street, 2nd Florr Us Army Dentac Tacoma WA 98327 |
Mailing Address |
9900 Lincoln Street Tacoma WA 98327 |
Practice Telephone | 2536984079 |
Enumeration Date | 2018-03-07 |
Last Update Date | 2018-03-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 126800000X | Dental Assistant | Dental Providers |
Street Address |
9900 LINCOLN STREET, 2ND FLORR US ARMY DENTAC |
City | TACOMA |
State | WA |
Zip Code | 98327 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124683610 | Kathryn Michele Hines | Behavior Technician | 1570 Wilmington Dr #220, Dupont, WA 98327 | 2019-05-09 |
1841785730 | Ethan Earl Tindall | Dentist | 9900 Lincoln St, 2nd Floor, Us Army Dentac, Tacoma, WA 98327 | 2018-06-25 |
1962996272 | William Thomas Frei | Dentist | 9900 Lincoln St, 2nd Floor, Attn: Credentials Office, Us Army Dentac, Tacoma, WA 98327 | 2018-06-20 |
1215436431 | Careage Home Health LLC | Home Health | 1600 Marshall Circle, Dupont, WA 98327 | 2018-02-02 |
1649621400 | Charles Walter Woodruff II | Dentist | Joint Base Lewis-mccord Dentac, Dental Clinic 3, Jblm, WA 98327 | 2016-06-23 |
1164898532 | Richard Lauderback | Dentist | 9900 Lincoln Street, 2nd Floor, Attn: Credentials Office, Tacoma, WA 98327 | 2015-08-19 |
1639552110 | Philip Henzlik | Dentist | 9900 Lincoln St. 2nd Floor, Us Army Dentac, Tacoma, WA 98327 | 2015-07-02 |
1861731739 | Elizabeth Brooke Stout | Behavioral Analyst | 1570 Wilmington Drive, Ste 220, Dupont, WA 98327 | 2013-02-12 |
1184902116 | Lidiya Kozlova | Massage Therapist | 5006 Center St Dr Ste N, Aim Physical Therapy, Tacoma, WA 98327 | 2011-07-25 |
1093043259 | Asa Nels Hansen | Chiropractor | 1000 Station Drive, Suite 100, Dupont, WA 98327 | 2009-11-30 |
Find all providers in zip 98327 |
Taxonomy Code | 126800000X |
Grouping | Dental Providers |
Classification | Dental Assistant |
An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary. |
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609383561 | Barbara Thaler | Dental Assistant | 2008 Hillside Dr Ne, Tacoma, WA 98422-4268 | 2018-01-01 |
1710498803 | Kimberly Ann Walters | Dental Assistant | 11572 17th and C. Street, Tacoma, WA 98433 | 2017-10-17 |
1588182026 | Nguyen Smith-trinidad | Dental Assistant | North Division St Bldg 2103p, Tacoma, WA 98431-0001 | 2017-09-05 |
1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
1518319151 | Lucy Comley | Dental Assistant | N Division St Bldg 2103p, Tacoma, WA 98431-0001 | 2016-07-07 |
1326499377 | Christina Posner | Dental Assistant | Madigan Annex 2nd Floor Bldg 9900, Tacoma, WA 98431-0001 | 2016-06-30 |
1144671298 | Melissa Sue Wilkins | Dental Assistant | Bldg 9900, 2nd Floor, Tacoma, WA 98431-0001 | 2016-06-29 |
1750716460 | Amanda G Hogan | Dental Assistant | 646 S State St, Tacoma, WA 98405-3036 | 2013-09-12 |
1144551003 | Carmen Marie Diaz | Dental Assistant | 7241 S Monroe St, Tacoma, WA 98409-2445 | 2010-01-15 |
1720691116 | Mercedes Mmn Valdivia | Dental Assistant | North Division St Bldg 2103p, Tacoma, WA 98431-0001 | 2020-08-26 |
Find all providers in TACOMA |
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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.