KELLYE WATKINS WILSON (NPI# 1730650870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730650870 |
| Entity Type | Individual |
| Full Name | KELLYE WATKINS WILSON |
| Credential | RDH |
| Practice Address |
420 S. Charles Seivers Blvd Clinton TN 37716 |
| Mailing Address |
2750 Dutch Valley Rd Clinton TN 37716-5406 |
| Practice Telephone | 8654571496 |
| Mailing Telephone | 8652544563 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH00002692 | TN | Dental Providers |
| Street Address |
420 S. CHARLES SEIVERS BLVD |
| City | CLINTON |
| State | TN |
| Zip Code | 37716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326428087 | Sandra Ella Humphrey Mincey | Registered Nurse | Mcneeley Family Physicians, 110 Executive Park Drive, Clinton, TN 37716 | 2015-06-08 |
| 1598157224 | Susan Price Teffeteller | Nurse Practitioner | 159 Frank L Diggs Road, Clinton, TN 37716 | 2015-03-04 |
| 1710268065 | Jimmy Neil Mcbride | Pharmacist | 1130 North Charles G. Seivers Boulevard, Clinton Drug Store, Clinton, TN 37716 | 2011-08-31 |
| 1265684658 | K-va-t Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 507 South Charles Sevier Boulevard, Clinton, TN 37716 | 2008-10-16 |
| 1912186016 | Comprehensive Industrial Services Inc | Physical Therapist | 1107 Charles Seivers Blvd, Suite 2, Clinton, TN 37716 | 2007-10-25 |
| 1205039120 | Pamela H. Gross, Ph.d, P.C. | Psychologist | 1729 Dutch Valley Road, Clinton, TN 37716 | 2007-06-07 |
| 1396872057 | Health Care Inc | Pharmacy | 1130 N Charles Seivers Blvd, Clinton, TN 37716 | 2007-02-28 |
| 1346389889 | Kellie Gaetz | Physical Therapist | 1115 Charles Seivers Blvd, Suite 22, Clinton, TN 37716 | 2007-02-05 |
| 1396883955 | Phoenix Counseling Services, Inc. | Counselor | 729 Charles Seivers, Clinton, TN 37716 | 2007-02-02 |
| 1831257187 | Kristi George Newton | Dentist | 190 Edgewood Ave, Clinton, TN 37716 | 2006-12-05 |
| Find all providers in zip 37716 | ||||
| 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 |
|---|---|---|---|---|
| 1164984399 | Nan'cee Neer-labbe | Dental Hygienist | 14555 Hellgate Lane, Clinton, MT 59825 | 2019-04-05 |
| 1396346839 | Shayla Michelle Pipes | Dental Hygienist | 1800 Community, Clinton, MO 64735-8804 | 2020-11-02 |
| 1417555624 | Hailey Henke | Dental Hygienist | 1800 Community, Clinton, MO 64735-8804 | 2020-10-12 |
| 1568097434 | Sarah Elizabeth Denny | Dental Hygienist | 1800 Community, Clinton, MO 64735-8804 | 2020-03-11 |
| 1386109015 | Sarah Goldie Wood | Dental Hygienist | 1800 Community, Clinton, MO 64735-8804 | 2019-02-06 |
| 1669936886 | Courtney Jo Ross | Dental Hygienist | 1800 Community, Clinton, MO 64735-8804 | 2019-01-23 |
| 1053843185 | Crystal Mccullough | Dental Hygienist | 1800 Community, Clinton, MO 64735-8804 | 2017-03-29 |
| 1497102115 | Alyssa Rowe | Dental Hygienist | 10321 N 2274 Rd, Clinton, OK 73601-7521 | 2016-05-23 |
| 1972944452 | Julie Dawn Nabors | Dental Hygienist | 10321 N 2274 Rd, Clinton, OK 73601-7521 | 2013-07-11 |
| 1831535368 | Christian Nicole Campbell | Dental Hygienist | 2000 N Gaines Dr, Clinton, MO 64735-1132 | 2013-05-10 |
| Find all providers in CLINTON | ||||
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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.