GRACE K LAINE (NPI# 1699134171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699134171 |
| Entity Type | Individual |
| Full Name | GRACE K LAINE |
| Practice Address |
3250 Zemke Ave Tampa FL 33621-5023 |
| Mailing Address |
6814 S Hesperides St Tampa FL 33616-2536 |
| Practice Telephone | 8138279400 |
| Mailing Telephone | 9542948860 |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2016-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH22658 | FL | Dental Providers |
| Street Address |
3250 ZEMKE AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33621-5023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184621856 | Michael Andre Couvillon | Nurse Practitioner | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2005-07-07 |
| 1437756343 | Molly Buchanan | Optometrist | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2020-10-04 |
| 1851917967 | Cristina Brock De Jesus | Nurse Practitioner | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2020-06-24 |
| 1588283188 | Echo Sims | Military Health Care Provider | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2020-04-13 |
| 1275152852 | Kimberley Nichole Wissner | Military Health Care Provider | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2020-04-13 |
| 1275171233 | Michael David Jensen | Nurse Practitioner | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2019-12-20 |
| 1023661196 | Jazzy-mae Nieto | Military Health Care Provider | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2019-07-18 |
| 1588227243 | Max E Lindgren | Physician Assistant | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2019-04-18 |
| 1366904948 | Sindy Johanna Maldonado | Physician Assistant | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2019-04-03 |
| 1164993135 | Jessica Hague | Psychologist | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2018-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134644750 | Kwanza Lincoln | Military Health Care Provider | 3520 Zemke Ave, Tampa, FL 33621 | 2017-08-04 |
| 1922407659 | Michelle Lind | Social Worker | 8126 Hangar Loop Dr, 927the Arw - Bldg 296, Room 231, Tampa, FL 33621 | 2014-08-19 |
| 1588932768 | Katherine Holmes | Physician Assistant | 6th Medical Group, 3250 Zemke Ave, Macdill Afb, FL 33621 | 2011-12-02 |
| 1558378273 | Graeme Charles Bicknell | Social Worker | 4815 Bayshore Blvd, 6th Medical Group, Tampa, FL 33621 | 2006-08-02 |
| 1659346146 | Laura Umfer | Psychologist | 4515 Bayshore Blvd, Tampa, FL 33621 | 2006-02-20 |
| 1205808516 | Kenneth Joseph Baron | Physician Assistant | 3250 Zemke Ave #1078, 6th Medical Group, Macdill Afb, FL 33621 | 2006-02-02 |
| 1760478044 | Michael Glenn Hodges | Family Medicine | 3250 Zerkle Avenue, Macdill Afb, FL 33621 | 2005-09-22 |
| 1003801242 | Heather Ann Newman | Nurse Anesthetist, Certified Registered | 6th Medical Group/sghc, 8415 Bayshore Blvd, Macdill Afb, FL 33621 | 2005-09-14 |
| 1861486789 | Daniel N. Park | Physician Assistant | Ussocom Clinic, 3250 Zemke Ave, Macdill Afb, FL 33621 | 2005-09-07 |
| 1164675070 | 6 Medical Group | Military Hospital | 8415 Bayshore Blvd, Macdill Base, Tampa, FL 33621 | 2008-10-23 |
| Find all providers in zip 33621 | ||||
| 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 |
|---|---|---|---|---|
| 1669989497 | Eric Vaihinger | Dental Hygienist | 9303 North Florida Ave, Ste 111, Tampa, FL 33612 | 2018-01-02 |
| 1184084063 | Shawanda Jackson | Dental Hygienist | 3250 Zemke Avenue, Tampa, FL 33621-5205 | 2016-03-04 |
| 1528323664 | Amy Jo Warren | Dental Hygienist | 2519 Krueger Ln, Tampa, FL 33618-3201 | 2012-07-04 |
| 1124629373 | Rafael R Rondon | Dental Hygienist | 5706 Benjamin Center Dr Ste 103, Tampa, FL 33634-5262 | 2020-11-04 |
| 1376957647 | Adilah Renee Everett | Dental Hygienist | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2014-06-16 |
| 1760706345 | Vicki A Nidzgorski | Dental Hygienist | 1105 E Kennedy Blvd, Tampa, FL 33602-3511 | 2010-03-25 |
| 1215141494 | Sonia Acevedo | Dental Hygienist | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2007-05-09 |
| 1447462213 | Nancy Rider | Dental Hygienist | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2007-05-04 |
| 1053523985 | Karen Lynn Austin | Dental Hygienist | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2007-05-04 |
| 1053523944 | Beverly Fritch | Dental Hygienist | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2007-05-04 |
| Find all providers in TAMPA | ||||
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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.