KELLY ELIZABETH HAWKINS (NPI# 1710297544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710297544 |
| Entity Type | Individual |
| Full Name | KELLY ELIZABETH HAWKINS |
| Credential | RDH |
| Practice Address |
3617 S Pacific Hwy Medford OR 97501-8957 |
| Mailing Address |
3617 S Pacific Highway Medford OR 97501 |
| Practice Telephone | 5415356239 |
| Practice Fax Number | 5415123178 |
| Mailing Telephone | 5415356239 |
| Mailing Fax Number | 5415123178 |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2010-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | H5762 | OR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902296064 | Kelly Hawkins | Pharmacist | 3801 Tennessee Ave, Chattanooga, TN 37409 | 2015-01-28 |
| 1922254317 | Kelly E Hawkins | Physical Therapist | 2475 W Randolph St, St Charles, MO 63301-1838 | 2008-08-18 |
| 1457549271 | Kelly Hawkins | Physical Therapy Assistant | 1659 Zacks Fork Rd, Lenoir, NC 28645-6893 | 2007-10-05 |
| 1457447526 | Kelly Weathers Hawkins | Speech-Language Pathologist | 14 E Ayers St, Edmond, OK 73034-3667 | 2006-10-05 |
| 1235245044 | Kelly Ann Hawkins | Social Worker | 11120 Somerset Ave, Princess Anne, MD 21853-2970 | 2006-08-22 |
| 1245872431 | Kelly Hawkins | Counselor | 1024 Ridge Rd, Rockwall, TX 75087-4200 | 2019-10-09 |
| 1104475045 | Kelly Hawkins | Physical Therapist | 1601 Sw Archer Rd, Brrc (151a) Malcom Randall Vamc, Gainesville, FL 32608-1135 | 2019-09-04 |
| 1730499492 | Kelly J Hawkins | Nurse Practitioner | 200 1st St Sw, Rochester, MN 55905-0001 | 2010-10-15 |
| 1538475116 | Kelly Lyn Hawkins | Occupational Therapist | 701 Clay Ave, Waco, TX 76799-0001 | 2010-08-20 |
| Street Address |
3617 S PACIFIC HWY |
| City | MEDFORD |
| State | OR |
| Zip Code | 97501-8957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437145265 | Brandee Danks | Physician Assistant | 3617 S Pacific Hwy, Medford, OR 97501-8957 | 2005-09-27 |
| 1730703380 | Lydia Ruthann Woody | Counselor | 3617 S Pacific Hwy, Medford, OR 97501-8957 | 2020-05-29 |
| 1871142562 | Ashleigh Adams | Counselor | 3617 S Pacific Hwy, Medford, OR 97501-8957 | 2019-09-05 |
| 1023660099 | La Clinica Del Valle Family Health Care Center Inc. | Pharmacy | 3617 S Pacific Hwy, Medford, OR 97501-8957 | 2019-07-10 |
| 1942793583 | La Clinica Del Valle Family Healthcare Center Inc. | Internal Medicine | 3617 S Pacific Hwy, Medford, OR 97501-8957 | 2018-06-08 |
| 1104334820 | Nona Neil | Registered Nurse | 3617 S Pacific Hwy, Medford, OR 97501-8957 | 2018-01-16 |
| 1407360241 | Toni Rae Asher | Registered Nurse | 3617 S Pacific Hwy, Medford, OR 97501-8957 | 2017-11-30 |
| 1558873547 | Maggie Schein | Registered Nurse | 3617 S Pacific Hwy, Medford, OR 97501-8957 | 2017-10-30 |
| 1578080404 | Sierra Gwin | Registered Nurse | 3617 S Pacific Hwy, Medford, OR 97501-8957 | 2017-08-22 |
| 1720513690 | Rebecca Holmes | Registered Nurse | 3617 S Pacific Hwy, Medford, OR 97501-8957 | 2017-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366069494 | Brian Snapp | Counselor | 1191 Hazel St, Medford, OR 97501 | 2020-07-06 |
| 1477174761 | Corey Renfree | Counselor | 1191 Hazel Street, Medford, OR 97501 | 2020-04-28 |
| 1669012928 | One of A Kind Therapy LLC | Social Worker | 916 West 10th St #205, Medford, OR 97501 | 2020-01-14 |
| 1265993620 | Star Dialysis LLC | Clinic/Center | 50 Rossanley Dr, Medford, OR 97501 | 2019-03-28 |
| 1962972463 | Karen Elise Roertgen | Counselor | 328 So. Central Ave., Suite 204, Medford, OR 97501 | 2018-11-28 |
| 1316458813 | Rick's Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 562 Parsons Drive, Suite 114, Medford, OR 97501 | 2017-10-24 |
| 1750807111 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 821 N Riverside Ave, Medford, OR 97501 | 2017-08-17 |
| 1992229009 | Cassandra Schultz | Massage Therapist | 824 East Jackson, Suite A, Medford, OR 97501 | 2017-07-31 |
| 1972962355 | Robin Clevenger | Peer Specialist | 301 S Ivy St, Medford, OR 97501 | 2016-02-15 |
| 1154706984 | Debbie Diane Orr | Behavioral Analyst | 1024 West 9th Street, Medford, OR 97501 | 2015-07-22 |
| Find all providers in zip 97501 | ||||
| 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 |
|---|---|---|---|---|
| 1487188512 | Darcie Raina Russo | Dental Hygienist | 3429 Creek View Dr, Medford, OR 97504-9624 | 2017-04-15 |
| 1215474671 | Heidi Marie Nernberger | Dental Hygienist | 124 S. Main Street, Medford, WI 54451 | 2017-01-24 |
| 1629423884 | Shelly W Hunter | Dental Hygienist | 2679 Eastover Ter, Medford, OR 97504-6930 | 2016-04-25 |
| 1275930323 | Alexis Fay Anderson | Dental Hygienist | 124 Main St., Medford, WI 54445 | 2014-12-04 |
| 1497152656 | Rachel E Nichols | Dental Hygienist | 124 South Main St, Medford, WI 54451 | 2014-12-03 |
| 1194080481 | Compassion Care LLC | Dental Hygienist | 3730 Fieldbrook Ave, Medford, OR 97504 | 2012-07-12 |
| 1215208954 | Sasha E Laprelle | Dental Hygienist | 495 S Stoneham Cir, Medford, OR 97504-6353 | 2012-01-25 |
| 1942501416 | Shalini Lahoty | Dental Hygienist | 30 Amaranth Pl, Medford, MA 02155-4101 | 2010-11-15 |
| 1093969107 | Renae Dawn Blome | Dental Hygienist | 4366 270th St E, Medford, MN 55049-8001 | 2008-11-17 |
| 1184888992 | Jennifer Burditt | Dental Hygienist | 3306 S Pacific Hwy, 36, Medford, OR 97501-8754 | 2008-07-11 |
| Find all providers in MEDFORD | ||||
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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.