JULIE R JENNINGS (NPI# 1689702714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689702714 |
| Entity Type | Individual |
| Full Name | JULIE R JENNINGS |
| Credential | RDH |
| Practice Address |
408 S Broadview St Cape Girardeau MO 63703-5725 |
| Mailing Address |
1962 David St Cape Girardeau MO 63701-2391 |
| Practice Telephone | 5733320808 |
| Practice Fax Number | 5733397945 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2016-11-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 2005019564 | MO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548464258 | Julie Rose Jennings | Dental Assistant | 11732 Se Malden Ct, Portland, OR 97266-8101 | 2007-06-14 |
| 1588164859 | Julie Renae Jennings | Nurse Practitioner | 4320 Wornall Rd Ste 50, Kansas City, MO 64111 | 2018-02-13 |
| 1497838437 | Julie Zurlinden Jennings | Registered Nurse | 2155 Iron Point Rd, Folsom, CA 95630-8707 | 2006-10-23 |
| 1144237652 | Julie Adams Jennings | Psychologist | 120 W Nelson St, Lexington, VA 24450-2036 | 2006-08-01 |
| Street Address |
408 S BROADVIEW ST |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63703-5725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316948730 | Susan B Farrow | Nurse Practitioner | 408 S Broadview St, Cape Girardeau, MO 63703-5725 | 2005-08-09 |
| 1114563798 | Tracey D Cooley | Dental Hygienist | 408 S Broadview St, Cape Girardeau, MO 63703-5725 | 2019-11-19 |
| 1386108181 | Constance R Koerner-bean | Social Worker | 408 S Broadview St, Cape Girardeau, MO 63703-5725 | 2019-01-25 |
| 1356839971 | Andrew J Bova | Dentist | 408 S Broadview St, Cape Girardeau, MO 63703-5725 | 2018-04-30 |
| 1447754122 | Katie Kristine Berghoff | Dental Hygienist | 408 S Broadview St, Cape Girardeau, MO 63703-5725 | 2018-03-19 |
| 1104348507 | Mitra Nejat-bina | Dentist | 408 S Broadview St, Cape Girardeau, MO 63703-5725 | 2017-07-07 |
| 1609295674 | Autumn Rose Vangennip | Dental Hygienist | 408 S Broadview St, Cape Girardeau, MO 63703-5725 | 2014-04-07 |
| 1205178274 | Nancy K Johnson | Nurse Practitioner | 408 S Broadview St, Cape Girardeau, MO 63703-5725 | 2013-03-18 |
| 1083964563 | Ashley Lipke | Registered Nurse | 408 S Broadview St, Cape Girardeau, MO 63703-5725 | 2012-09-12 |
| 1669746624 | Alan David Jones | Dentist | 408 S Broadview St, Cape Girardeau, MO 63703-5725 | 2012-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720566102 | Christian Torres Diaz | Dentist | 3070 William Street, Cape Girardeau, MO 63703 | 2018-07-30 |
| 1457758153 | Broadway Ltc, LLC | Pharmacy | 37 Doctors Park Ste 7, Cape Girardeau, MO 63703 | 2014-11-24 |
| 1336562263 | Rachel Speer | Community Health Worker | 20 South Sprigg St, Cape Girardeau, MO 63703 | 2014-01-29 |
| 1245653120 | Mary Wilburn | Community Health Worker | 20 S Spigg, Cape Girardeau, MO 63703 | 2014-01-28 |
| 1831523695 | Saint Francis Medical Center | General Acute Care Hospital | 150 South Mount Auburn Road, Suite 342, Cape Girardeau, MO 63703 | 2013-08-29 |
| 1033481163 | J K Essmyer Medical Services LLC | Clinic/Center | 300 Mt Auburn Rd, Auburn Surgery Center, Inc, Cape Girardeau, MO 63703 | 2012-02-06 |
| 1477867844 | Drx - East Missouri Providers, P.C. | Family Medicine | 465 S Mount Auburn Road, Suite 103, Cape Girardeau, MO 63703 | 2010-07-28 |
| 1346564879 | Richard William Tobey | Family Medicine | 3250 Gordonville Rd Ste 301, Cape Girardeau, MO 63703 | 2010-03-26 |
| 1144413568 | Stephanie Danette Miller | Family Medicine | 817 S. Mount Auburn, Suite 100, Southeast Primary Care, Cape Gerardeau, MO 63703 | 2007-08-20 |
| 1437349305 | Shanaree Mae Muzinich | Radiology | 70 Doctor's Park, Cape Girardeau, MO 63703 | 2007-07-27 |
| Find all providers in zip 63703 | ||||
| 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 |
|---|---|---|---|---|
| 1114563798 | Tracey D Cooley | Dental Hygienist | 408 S Broadview St, Cape Girardeau, MO 63703-5725 | 2019-11-19 |
| 1447754122 | Katie Kristine Berghoff | Dental Hygienist | 408 S Broadview St, Cape Girardeau, MO 63703-5725 | 2018-03-19 |
| 1609295674 | Autumn Rose Vangennip | Dental Hygienist | 408 S Broadview St, Cape Girardeau, MO 63703-5725 | 2014-04-07 |
| 1528218914 | Michael K Dillow | Dental Hygienist | 408 S Broadview St, Cape Girardeau, MO 63703-5725 | 2008-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323238 | Marcia Poe | Dental Hygienist | 20815 S Dean Rd, Belton, MO 64012-9132 | 2020-10-12 |
| 1629682943 | Seong Jin Park | Dental Hygienist | 6958 Nebraska Ave Bldg 1608, Fort Leonard Wood, MO 65473-1618 | 2020-09-03 |
| 1447868542 | Emily Sue Leslie | Dental Hygienist | 315 W Mulberry Ste B, Pilot Knob, MO 63663-7860 | 2020-07-15 |
| 1982198453 | Traci Anne Shambo | Dental Hygienist | Bldg. 400 Virginia Ave, Fort Leonard Wood, MO 65473 | 2018-06-19 |
| 1396237863 | Maegen Mone Taylor | Dental Hygienist | 547 S Business Highway 13, Lexington, MO 64067 | 2018-05-31 |
| 1740798750 | Julie R Phillips | Dental Hygienist | 10007 Nw Lema Dr Apt C, Parkville, MO 64152-3933 | 2018-01-12 |
| 1639618325 | Tabitha Vollmer | Dental Hygienist | 1701 W. Sunshine Street, Suite Q, Springfield, MO 65807-2261 | 2017-02-15 |
| 1588113773 | Heather Annette Henke | Dental Hygienist | #5 Health Department Drive, Troy, MO 63379-4451 | 2016-09-28 |
| 1720532104 | Angela Faurot | Dental Hygienist | 4001 Pine View Dr, Columbia, MO 65202-4209 | 2016-08-15 |
| 1497105688 | Lisa Diane Moss | Dental Hygienist | 5047 Virginia Ave, Bldg 500, Fort Leonard Wood, MO 65473-9126 | 2016-06-17 |
| Find all providers with the same taxonomy | ||||
| City | CAPE GIRARDEAU |
| Zip Code | 63703 |
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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.