REYNA C FORTUNE (NPI# 1760834261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760834261 |
| Entity Type | Individual |
| Full Name | REYNA C FORTUNE |
| Practice Address |
1 Jarrett White Rd Us Army Dentac Hi Tripler Amc HI 96859-5001 |
| Practice Telephone | 8084384131 |
| Mailing Telephone | 8084384131 |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2016-07-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | Dental Providers |
| Street Address |
1 JARRETT WHITE RD US ARMY DENTAC HI |
| City | TRIPLER AMC |
| State | HI |
| Zip Code | 96859-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515352 | Erin M Kang | Military Health Care Provider | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2020-10-09 |
| 1477199149 | Thomas Petersen | Physical Therapist | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2019-11-18 |
| 1285277962 | Emily Floyd Simpson | Nurse Practitioner | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2019-10-24 |
| 1659931731 | Melissa Nycole Work | Audiologist | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2019-06-19 |
| 1366000887 | Andrea Moon | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2019-05-30 |
| 1316500242 | Kaitlin Dresser | Dietitian, Registered | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2019-04-16 |
| 1366925414 | Quoc Tuan Minh Luong | Licensed Vocational Nurse | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2018-09-13 |
| 1487131249 | Alexander Junho Song | Dentist | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2018-07-25 |
| 1922591304 | Hannah Russin | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2018-06-11 |
| 1184116592 | Adam Kisling | Internal Medicine | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2018-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770115792 | The Janz Corporation | Durable Medical Equipment & Medical Supplies | Tripler Medical Center, C-103, Honolulu, HI 96859 | 2020-02-07 |
| 1467726927 | Elton E Bacon | Orthotist | 1 Jarrett White Rd Dept of The Army, Attn: Orthopedic Brace Clinic (mchk-dso-a), Tripler Amc, HI 96859 | 2012-03-01 |
| 1063738813 | Defense Finance & Actg Service | Military Hospital | 691 Schofield Barracks, U.s Army Health Clinic Bldg, Wahiawa, HI 96859 | 2010-04-19 |
| 1972737153 | Kyong Su Min | Orthopaedic Surgery | 1 Jarrett White Rd Bldg 4f, Tripler Army Medical Center, HI 96859 | 2009-05-04 |
| 1558503854 | Mark Andrew Gerum | Social Worker | Tripler Army Medical Center, 1 Jarrett White Road, Intensive Outpatient Program (iop), Honolulu, HI 96859 | 2009-04-01 |
| 1578720926 | Travis Jaya Mason | Surgery | Tripler Army Medical Center 1 Jarrett White Road, Honolulu, HI 96859 | 2008-05-21 |
| 1467513168 | Joselyn Cabalo Funtanilla Ponce | Registered Nurse | 1 Jarrett White Rd Bldg 4, Tripler Amc, HI 96859 | 2006-12-13 |
| 1346280195 | Harkirtin Kaur Mciver | Pediatrics | Tripler Army Medical Center Mchk-pe, 1 Jarrett White Road, Honolulu, HI 96859 | 2006-06-08 |
| 1043297740 | Jacqueline Seger | Registered Nurse | Tamc 1 Jarrett-white Rd., 1 Jarrett-white Rd. / Mchk-dsc, Honolulu, HI 96859 | 2005-12-23 |
| 1982694683 | Peter Marlin | Psychiatry & Neurology | Tamc, 1 Jarriet White Road, Honolulu, HI 96859 | 2005-10-24 |
| Find all providers in zip 96859 | ||||
| Taxonomy Code | 126800000X |
| Grouping | Dental Providers |
| Classification | Dental Assistant |
| An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093256497 | Jerry V Iloreta | Dental Assistant | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2017-03-17 |
| 1306387709 | Kayla Sutton | Dental Assistant | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2017-03-17 |
| 1972044527 | Gaurav Bhattarai | Dental Assistant | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2017-03-15 |
| 1508217902 | Alexandra Perez-vargas | Dental Assistant | 1 Jarrett White Rd, Us Army Dentac Hi, Tripler Amc, HI 96859-5001 | 2016-06-27 |
| 1164873949 | Jade C Ferreira | Dental Assistant | 1 Jarrett White Road, Mcds-nh, Us Army Dental Activity Hawaii, Tripler Amc, HI 96859-5000 | 2016-06-23 |
| 1407207285 | Kevin Q Gailey | Dental Assistant | 1 Jarrett White Road, Mcds-nh, Us Army Dental Activity Hawaii, Tripler Amc, HI 96859-5000 | 2016-06-23 |
| 1164871307 | Andreana Dick | Dental Assistant | 1 Jarrett White Rd, Us Army Dental Activity Hawaii, Tripler Amc, HI 96859-5001 | 2016-06-08 |
| 1568811651 | Anne B Beloy | Dental Assistant | 1 Jarrett White Rd, Us Army Dental Activity, Tripler Amc, HI 96859-5001 | 2016-06-08 |
| 1679922835 | Kiley Yoneda | Dental Assistant | 1 Jarrett White Rd, Us Army Dental Activity Hawaii, Tripler Amc, HI 96859-5001 | 2016-06-08 |
| 1124477450 | Elena Luecke | Dental Assistant | 1 Jarrett White Rd, Us Army Dental Activity Hawaii, Tripler Amc, HI 96859-5001 | 2016-06-07 |
| Find all providers in TRIPLER AMC | ||||
| City | TRIPLER AMC |
| Zip Code | 96859 |
Please comment or provide details below to improve the information on REYNA C FORTUNE.
| 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.