MRS. SHELLY PETERS (NPI# 1720593015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720593015 |
| Entity Type | Individual |
| Full Name | MRS. SHELLY PETERS |
| Credential | RDH |
| Practice Address |
500 Kennedy Dr Rangely CO 81648-3502 |
| Mailing Address |
905 County Road 101 Rangely CO 81648-2034 |
| Practice Telephone | 9706753245 |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 000903508 | CO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942754015 | Shelly Lynn Peters | Nurse Practitioner | 329 N. Salina Street, Helio Health, Syracuse, NY 13203 | 2016-08-06 |
| 1194199273 | Shelly Peters | Massage Therapist | 9750 Cuyamaca St, 101, Santee, CA 92071-2626 | 2015-11-30 |
| 1346862992 | Shelly Peters | Case Manager/Care Coordinator | 445 E Dublin Granville Rd, Worthington, OH 43085-3192 | 2020-05-16 |
| Street Address |
500 KENNEDY DR |
| City | RANGELY |
| State | CO |
| Zip Code | 81648-3502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679873152 | Phillip Hamblen Brown | Dentist | 500 Kennedy Dr, Rangely, CO 81648-3502 | 2010-10-29 |
| 1457716938 | Advanced Dental Solutions PC | Dentist | 500 Kennedy Dr, Rangely, CO 81648-3502 | 2015-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265948434 | Norian Edwards | Specialist/Technologist | 225 Eagle Crest Drive., Rangely, CO 81648 | 2017-12-23 |
| 1780602078 | Kenneth K. Myers | Dentist | 225 Eagle Crest Drive, Rangely, CO 81648 | 2006-07-17 |
| 1871550145 | Rangely Hospital District | Home Health | 225 Eagle Crest, Rangely, CO 81648 | 2006-04-28 |
| 1639419039 | Nicole Marie Danielson | Physical Therapist | 225 Eagle Crest, Rangely, CO 81648 | 2013-02-21 |
| 1063430346 | Rangely Hospital District | General Acute Care Hospital | 225 Eagle Crest Dr., Rangely, CO 81648-2100 | 2006-07-17 |
| 1720017890 | Carla Slagle | Dietitian, Registered | 511 S White Ave, Rangely, CO 81648-2100 | 2006-07-01 |
| 1710182084 | Gary B Morsch Md | Non-Pharmacy Dispensing Site | 511 S White Ave, Rangely, CO 81648-2100 | 2007-06-18 |
| 1881811107 | Rangely Hospital District | Skilled Nursing Facility | 225 Eagle Crest Dr., Rangely, CO 81648-2100 | 2007-04-19 |
| 1053434753 | Rangely Hospital District | Ambulance | 511 S White Ave, Rangely, CO 81648-2100 | 2007-04-09 |
| 1780707489 | Rangely Hospital District | Home Health | 511 S White Ave, Rangely, CO 81648-2100 | 2007-04-09 |
| Find all providers in zip 81648 | ||||
| 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 |
|---|---|---|---|---|
| 1194326900 | Kassidee N Ficken | Dental Hygienist | 6671 Highway 36, Joes, CO 80822 | 2020-11-06 |
| 1932708302 | Andrea Viger | Dental Hygienist | 4167 Clifton Ct, Boulder, CO 80301-1712 | 2020-10-18 |
| 1841803657 | Tanara Dawn Block | Dental Hygienist | 1325 Hover St Ste 201, Longmont, CO 80501-3176 | 2020-08-31 |
| 1750993150 | Holly Delana Julch | Dental Hygienist | 2837 Federal Blvd, Denver, CO 80211-4117 | 2020-08-18 |
| 1841801032 | Ashley Lindsey | Dental Hygienist | 87 Merchant Dr # Usa, Montrose, CO 81401-3015 | 2020-08-12 |
| 1245849256 | Manish Tomar | Dental Hygienist | 4562 E Dartmouth Ave, Denver, CO 80222-6732 | 2020-07-26 |
| 1962028464 | Sarah Jane Tanner | Dental Hygienist | 1190 Everett Ct, Lakewood, CO 80215-4829 | 2020-06-19 |
| 1578186060 | Lacie Overman | Dental Hygienist | 360 Peak One Dr # 100, Frisco, CO 80443-5948 | 2020-05-19 |
| 1811518095 | Victoria Lynn Wilk | Dental Hygienist | 10186 Highland Meadow Cir Apt 33-205, Parker, CO 80134-9481 | 2020-04-29 |
| 1912526351 | Janet Karen Madrid | Dental Hygienist | 4023 Stampede Dr, Castle Rock, CO 80104-7849 | 2020-04-15 |
| 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.