KALEY JO OBRIEN (NPI# 1700391505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700391505 |
| Entity Type | Individual |
| Full Name | KALEY JO OBRIEN |
| Credential | RDH |
| Practice Address |
39 Shortcut Rd Inchelium WA 99138 |
| Mailing Address |
Po Box 290 Inchelium WA 99138-0290 |
| Practice Telephone | 5097227686 |
| Mailing Telephone | 5097227686 |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2017-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH60805668 | WA | Dental Providers |
| Street Address |
39 SHORTCUT RD |
| City | INCHELIUM |
| State | WA |
| Zip Code | 99138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033411830 | Tanya Marie Mason | Registered Nurse | 39 Shortcut Rd, Inchelium, WA 99138 | 2010-11-30 |
| 1629544457 | David Colvin | Nurse Practitioner | 39 Shortcut Rd, Inchelium, WA 99138 | 2018-10-19 |
| 1205229739 | Karri Askerlund | Nurse's Aide | 39 Shortcut Rd, Inchelium, WA 99138 | 2015-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417597360 | Shannon Marie Dripps | Registered Nurse | 39 Shortcut Rd., Inchelium, WA 99138 | 2020-01-08 |
| 1427612597 | Angela L Mcclain | Nurse Practitioner | 3052 Bridge Creek Rd, Inchelium, WA 99138 | 2019-04-24 |
| 1699951236 | Gary S May | Dentist | 39 Shorrtcut Rd, 290 Ox, Inchelium, WA 99138 | 2008-01-14 |
| 1902948862 | Diane Carol Mills | Registered Nurse | 36 Shortcut Road, Inchelium, WA 99138 | 2007-02-13 |
| 1487665386 | Inchelium School District #70 | Local Education Agency (LEA) | 1 Hornet Ave, Inchelium, WA 99138 | 2006-08-10 |
| 1245248384 | Lorrie June Dawson | Nurse Practitioner | 39 Shortcut Road, Inchelium, WA 99138 | 2006-08-04 |
| 1043264054 | Colville Nation Community Health Center | Clinic/Center | 39 Short Cut Rd, Inchelium, WA 99138 | 2006-05-22 |
| 1578188165 | Thomas Lilly | Social Worker | 39 Shortcut Road, Inchelium, WA 99138 | 2020-06-10 |
| 1336771674 | Ashley Evelyn Taylor | Dentist | 39 Shortcut Road, Inchelium, WA 99138 | 2020-02-05 |
| 1912557240 | Arielle Anastasia Cawston | Dental Therapist | 39 Short Cut Rd, Inchelium, WA 99138 | 2019-09-18 |
| Find all providers in zip 99138 | ||||
| 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 |
|---|---|---|---|---|
| 1790160018 | Trisha Ferguson | Dental Hygienist | 39 Short Cut Road, Inchelium, WA 99138-0001 | 2015-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807755 | Karen Sloat Parker | Dental Hygienist | 1014 12th Ave N, Edmonds, WA 98020-2511 | 2020-10-05 |
| 1255948030 | Adisa Salaka | Dental Hygienist | 14335 Simonds Rd Ne Apt A303, Kirkland, WA 98034-9277 | 2020-09-25 |
| 1790391951 | Ann Marie O'connor | Dental Hygienist | 620 Glen St Apt 302, Edmonds, WA 98020-3236 | 2020-09-22 |
| 1396359691 | Lindsey Marie Tennant-moore | Dental Hygienist | 6515 5th Ave Ne Apt 202, Seattle, WA 98115-6451 | 2020-09-03 |
| 1356952568 | Stephanie Kleinbrook | Dental Hygienist | 1455 James St, Bellingham, WA 98225-4943 | 2020-08-11 |
| 1639789787 | Catrice Opichka | Dental Hygienist | 1118 Hilty Ln, Bow, WA 98232-9544 | 2020-08-04 |
| 1487272860 | Diedre Snow Hill | Dental Hygienist | 1950 Pottery Ave Ste 170, Port Orchard, WA 98366-2591 | 2020-07-11 |
| 1922621929 | Rebecca Rose | Dental Hygienist | 4532 Dyes Inlet Rd Nw, Bremerton, WA 98312-1410 | 2020-05-26 |
| 1053946673 | Jessica Maree Carnes | Dental Hygienist | 6505 Nw Cherry Street, Vancouver, WA 98663 | 2020-03-04 |
| 1952933251 | Julie Kristen Dutler | Dental Hygienist | 11572 C St, Jblm, WA 98433 | 2020-02-05 |
| Find all providers with the same taxonomy | ||||
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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.