MICHELLE LANE (NPI# 1740735026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740735026 |
| Entity Type | Individual |
| Full Name | MICHELLE LANE |
| Credential | DH |
| Practice Address |
1015 Columbia Bridgeport WA 98813 |
| Mailing Address |
Po Box 1340 Okanogan WA 98840-1340 |
| Practice Telephone | 5094225700 |
| Mailing Telephone | 5096892525 |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2016-08-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | IL6058623 | WA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639730690 | Michelle L Lane | Nurse Practitioner | 301 Prospect Ave Fl 6, Syracuse, NY 13203-1807 | 2019-06-21 |
| 1073931671 | Michelle Lane | Social Worker | 40 Byron Dr, Smithsburg, MD 21783-1565 | 2014-04-01 |
| 1013095215 | Michelle Leigh Lane | Marriage & Family Therapist | 4287 Piedmont Ave Ste 108, Oakland, CA 94611-4730 | 2006-11-02 |
| 1205490976 | Michelle Lane | Dietitian, Registered | 503 N 21st St, Camp Hill, PA 17011-2204 | 2019-04-27 |
| 1366807315 | Michelle Lane | Massage Therapist | 4791 W Van Giesen St # B, West Richland, WA 99353-5085 | 2015-12-17 |
| 1477953263 | Michelle Lane | Counselor | 3020 Bailey Ave, Buffalo, NY 14215-2814 | 2014-08-28 |
| 1699106914 | Michelle Lane | Case Manager/Care Coordinator | 2640 Breslauer Way, Redding, CA 96001-4246 | 2013-12-12 |
| 1134403082 | Michelle Ann Lane | Nurse Practitioner | 3000 Market St Ne, Suite 530, Salem, OR 97301-1882 | 2011-10-10 |
| 1053473538 | Michelle Denise Lane | Social Worker | 130 Powerville Rd, Mica Outpatient Services, Saint Clares Hospital, Boonton, NJ 07005-8705 | 2006-12-14 |
| Street Address |
1015 COLUMBIA |
| City | BRIDGEPORT |
| State | WA |
| Zip Code | 98813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205253176 | Family Health Centers | Clinic/Center | 1015 Columbia, Bridgeport, WA 98813 | 2014-03-27 |
| 1104371483 | Matthew Carmody | Dentist | 1015 Columbia, Bridgeport, WA 98813 | 2016-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497176390 | Family Health Centers | Clinic/Center | 1015 Columbia Ave, Bridgeport, WA 98813 | 2013-12-18 |
| 1295073856 | Catherine Lynn Mullin | Specialist/Technologist | 1400 Tacoma Ave., Bridgeport School District, Bridgeport, WA 98813 | 2013-01-16 |
| 1235168030 | Bridgeport School District | Local Education Agency (LEA) | 1300 Tacoma Ave, Bridgeport, WA 98813 | 2006-07-02 |
| 1275019655 | Tony Ye Yan | Dentist | 1015 Columbia Ave, Bridgeport, WA 98813 | 2018-07-18 |
| 1275718322 | City of Bridgeport | Ambulance | 1206 Columbia Avenue, Bridgeport, WA 98813-0640 | 2008-01-08 |
| 1164568721 | W Dale Gross | Pharmacy | 2520 Foster Ave, Bridgeport, WA 98813-1029 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528148 | Jordan Renee Morrison | Technician/Technologist | 139 Conference Center Way Ste 121, Bridgeport, WV 26330-9147 | 2020-11-05 |
| 1528666955 | Emily Mariah Wolf | Counselor | 1154 Walnut Grove Rd, Bridgeport, NY 13030-9760 | 2020-10-16 |
| 1952909053 | Payne & Pitts, LLC | Pharmacy | 602 Alabama Avenue, Bridgeport, AL 35740-7513 | 2020-10-12 |
| 1992303036 | Gage Mackenzie Chichester | Nurse Anesthetist, Certified Registered | 2673 Medical Park Drive, Bridgeport, WV 26330 | 2020-10-12 |
| 1710584305 | Ryan Abraham Labean | Behavior Technician | 6296 Village Square Drive, Suite 2, Bridgeport, MI 48722 | 2020-10-06 |
| 1609483411 | Michelle Ribas Alves | Behavioral Analyst | 620 Peet St, Bridgeport, CT 06606-2731 | 2020-09-25 |
| 1629684410 | Far Rahman | Nutritionist | 386 Myrtle Ave, Bridgeport, CT 06604-5443 | 2020-09-17 |
| 1093321044 | Linda L Link | Private Vehicle | 53205 Poplar Drive, Stobbs Estates, Bridgeport, OH 43912 | 2020-09-16 |
| 1457965113 | Cassandra Dewees | Case Manager/Care Coordinator | 70259 Sunset Hts, Bridgeport, OH 43912-8726 | 2020-09-01 |
| 1437763166 | Emily Ann Haws | Case Manager/Care Coordinator | 203 Willow Greene Dr, Bridgeport, WV 26330-7974 | 2020-09-01 |
| Find all providers in BRIDGEPORT | ||||
| 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 |
|---|---|---|---|---|
| 1417099680 | Karen Sue Williams | Dental Hygienist | 30 Hazel Street, Bridgeport, CT 06604-5715 | 2007-02-13 |
| 1952384885 | Vitaly Lein | Dental Hygienist | 982 E Main St, Bridgeport, CT 06608-1913 | 2005-11-23 |
| 1356942494 | Marilyn Karen Bartley | Dental Hygienist | 982 E Main St, Bridgeport, CT 06608-1913 | 2020-11-04 |
| 1235790296 | Hudson I Hector | Dental Hygienist | 46 Albion St, Bridgeport, CT 06605-2602 | 2019-06-20 |
| 1437525110 | Myriam H Rodriguez | Dental Hygienist | 982 E Main St, Bridgeport, CT 06608-1913 | 2015-08-17 |
| 1568726784 | Castelin Decamps | Dental Hygienist | 982 E Main St, Bridgeport, CT 06608-1913 | 2012-07-03 |
| 1366720013 | Susan M. Miklos | Dental Hygienist | 126 Park Ave, Bridgeport, CT 06604-7620 | 2011-07-29 |
| 1629303813 | Shauna Khan | Dental Hygienist | 982 E Main St, Bridgeport, CT 06608-1913 | 2009-10-06 |
| 1891940656 | Amuri Barbosa | Dental Hygienist | 64 Black Rock Ave, Bridgeport, CT 06605-1200 | 2008-11-20 |
| 1144411000 | Lisa O'connor | Dental Hygienist | 361 Bird St, Bridgeport, CT 06605-2804 | 2007-08-06 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 98813 |
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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.