MRS. TYE SPADY BLAIR (NPI# 1720691439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720691439 |
| Entity Type | Individual |
| Full Name | MRS. TYE SPADY BLAIR |
| Other Name | TYE SPADY |
| Credential | RDH, PHDHP |
| Practice Address |
5201 Haverford Ave Philadelphia PA 19139-1401 |
| Practice Telephone | 2154712761 |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2020-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | PHDH001026 | PA | Dental Providers |
| Street Address |
5201 HAVERFORD AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19139-1401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437178977 | Gary Davis | Family Medicine | 5201 Haverford Ave, Philadelphia, PA 19139 | 2006-07-18 |
| 1982246682 | Myra Lynn Rutland | Nurse Practitioner | 5201 Haverford Ave, Philadelphia, PA 19139-1401 | 2019-10-14 |
| 1114588019 | Samiyra Seymone Vaughn-ibrahim | Dentist | 5201 Haverford Ave, Philadelphia, PA 19139-1401 | 2019-06-23 |
| 1396300331 | Sarah Pinto | Nurse Practitioner | 5201 Haverford Ave, Philadelphia, PA 19139-1401 | 2019-05-06 |
| 1659845501 | Naeemah A Ali | Nurse Practitioner | 5201 Haverford Ave, Philadelphia, PA 19139-1401 | 2019-01-14 |
| 1629564307 | Ana Luisa Perez Guerrero | Registered Nurse | 5201 Haverford Ave, Philadelphia, PA 19139-1401 | 2018-07-06 |
| 1669962635 | Abbey Roepke | Nurse Practitioner | 5201 Haverford Ave, Philadelphia, PA 19139-1401 | 2018-05-15 |
| 1871956185 | Gina Steinberg | Nurse Practitioner | 5201 Haverford Ave, Philadelphia, PA 19139-1401 | 2016-04-04 |
| 1770940827 | Yahaya Ehigie Enakhimion | Nurse Practitioner | 5201 Haverford Ave, Philadelphia, PA 19139-1401 | 2016-01-20 |
| 1205221371 | Rachel Lieberman | Pediatrics | 5201 Haverford Ave, Philadelphia, PA 19139-1401 | 2015-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598378663 | Suzanne Banning Anderson | Social Worker | Sayre High School, 5800 Walnut St, Philadelphia, PA 19139 | 2020-08-28 |
| 1770192890 | Michael Pappano LLC | Social Worker | 31 South 51st St, Philadelphia, PA 19139 | 2020-07-24 |
| 1912419581 | Christina Lipuma | Dietitian, Registered | 5210 Haverford Ave, Philadelphia, PA 19139 | 2017-11-03 |
| 1538515564 | New Vitae Inc | Public Health or Welfare | 27 S 55th Street, Philadelphia, PA 19139 | 2016-05-09 |
| 1982058681 | Phyllis Mwaura | In Home Supportive Care | 5338 Vine Street, Basement, Philadelphia, PA 19139 | 2016-04-19 |
| 1861879322 | Barbara Joette Hegarty | Counselor | 4508 Chestnut Street, Philadelphia, PA 19139 | 2015-05-04 |
| 1336533454 | Julie Magallanes-montone | Family Medicine | 5201 Haverford Avenue, Philadelphia, PA 19139 | 2015-03-26 |
| 1134494909 | The Children's Hospital of Philadelphia | Pediatrics | 4865 Market Street, Philadelphia, PA 19139 | 2012-03-13 |
| 1467757443 | Nouman Bashir | Dentist | 5139 Chestnut Stree, Philadelphia, PA 19139 | 2011-01-21 |
| 1720396732 | Serena Denise Johnson | Contractor | 5151a Walnut Street, Philadelphia, PA 19139 | 2010-09-24 |
| Find all providers in zip 19139 | ||||
| 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 |
|---|---|---|---|---|
| 1992320055 | Jennifer Hoch | Dental Hygienist | 100 S Broad St Ste 2000, Philadelphia, PA 19110-1009 | 2020-06-14 |
| 1437706926 | Jean Elizabeth Rath | Dental Hygienist | 160 E Erie Ave # N1-08, Philadelphia, PA 19134-1011 | 2019-08-20 |
| 1396300034 | Lakia Mercedes Glover | Dental Hygienist | 6120 Woodland Ave Fl 2, Philadelphia, PA 19142-3200 | 2019-05-08 |
| 1861918542 | Theresa Mary Thompson | Dental Hygienist | Delaware Valley Community Health, 1412 Fairmount Avenue, Philadelphia, PA 19130 | 2017-08-15 |
| 1609492834 | Evan Tuan Huynh | Dental Hygienist | 1401 S 31st St, Philadelphia, PA 19146-3506 | 2020-06-23 |
| 1356965461 | Mackenzie Hubing | Dental Hygienist | 1207 Chestnut St 4th Fl, Philadelphia, PA 19107-4131 | 2020-06-04 |
| 1831720838 | Lan Ngoc Le Nguyen | Dental Hygienist | 1200 Callowhill St, Philadelphia, PA 19123-3658 | 2020-01-28 |
| 1740837244 | Lea Vinae D'angelo | Dental Hygienist | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-08-20 |
| 1760035653 | Karen Engelke | Dental Hygienist | 2144 Cecil B Moore Ave, Philadelphia, PA 19121-4014 | 2019-07-19 |
| 1447815097 | Dana Robinson | Dental Hygienist | 850 N 11th St, Philadelphia, PA 19123-1957 | 2019-05-08 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19139 |
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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.