MRS. ALISHA MARIE LARSON (NPI# 1780842526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780842526 |
Entity Type | Individual |
Full Name | MRS. ALISHA MARIE LARSON |
Credential | RDH BS |
Practice Address |
29 Black Coal Drive Fort Washakie WY 82514 |
Mailing Address |
1210 Mcdougall Dr Lander WY 82520-3531 |
Practice Telephone | 3073323527 |
Mailing Telephone | 3073355960 |
Enumeration Date | 2008-05-29 |
Last Update Date | 2008-05-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | 747 | WY | Dental Providers |
Street Address |
29 BLACK COAL DRIVE |
City | FORT WASHAKIE |
State | WY |
Zip Code | 82514 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366097198 | Vanessa Sorrels | Pharmacist | 29 Black Coal Drive, Fort Washakie, WY 82514 | 2019-08-08 |
1730673823 | Darlene Lucy Kozlowski | Radiology | 29 Black Coal Drive, Fort Washakie, WY 82514 | 2018-06-21 |
1780171298 | Kyle Baker | Physical Therapist | 29 Black Coal Drive, Fort Washakie, WY 82514 | 2018-04-19 |
1205235330 | David Thatch | Spec/Tech, Pathology | 29 Black Coal Drive, Fort Washakie, WY 82514 | 2014-08-14 |
1821414475 | Garth Nelson Foster | Physical Therapist | 29 Black Coal Drive, Fort Washakie, WY 82514 | 2014-03-06 |
1205260502 | Jeremy C Norton | Nurse Practitioner | 29 Black Coal Drive, Fort Washakie, WY 82514 | 2013-08-23 |
1710224837 | Julie Ann Smith | Technician, Pathology | 29 Black Coal Drive, Fort Washakie, WY 82514 | 2013-01-09 |
1245501808 | Holly Ann Daverin | Dental Hygienist | 29 Black Coal Drive, Fort Washakie Dental Clinic, Fort Washakie, WY 82514-0128 | 2012-01-13 |
1689963233 | Becky Bappe | Spec/Tech, Pathology | 29 Black Coal Drive, Fort Washakie Health Center Lab, Fort Washakie, WY 82514 | 2011-04-05 |
1215233168 | Jill Renee Erickson | Dental Hygienist | 29 Black Coal Drive, Fort Washakie, WY 82514 | 2011-02-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619527819 | Melissa Rose Pine | Registered Nurse | 29 Blackcole Road, Fort Washakie, WY 82514 | 2019-09-19 |
1982116794 | Madonna Lee Kienlen | Peer Specialist | 215 Ethete Road, Ft. Washakie, WY 82514 | 2017-11-02 |
1649789025 | Rebecca Charlene Willis | Technician, Other | Fort Washakie Healt Center Lab Ihs 29 Black Coal Drive, Fort Washakie, WY 82514 | 2017-09-28 |
1033553185 | Pauline Elizabeth Powers-peprah | Family Medicine | 29 Black Cole, Fort Washakie, WY 82514 | 2013-04-19 |
1528319373 | Amanda L Schultz | Licensed Practical Nurse | 110 Sharpnose Road, Fort Washakie, WY 82514 | 2012-09-19 |
1770898140 | Kelly Lynne Pretty Weasel | Clinic/Center | 29 Blackcole Dr, Fort Washakie, WY 82514 | 2010-08-10 |
1285950170 | Debra Kay Waters | Technician, Pathology | Black Coal Rd. Bldg. 29, Ft. Washakie, WY 82514 | 2010-04-16 |
1881919751 | Shoshone & Arapaho Tribal Substance Abuse Court | Clinic/Center | 215 Ethete Rd, Fort Washakie, WY 82514 | 2010-04-02 |
1770814253 | Christopher G Nelson | Spec/Tech, Pathology | 29 Black Coal Rd, Ft. Washakie, WY 82514 | 2010-01-22 |
1922339449 | Nina Williams | Spec/Tech, Pathology | Black Coal Rd Bldg 29, Ft Washakie, WY 82514 | 2010-01-22 |
Find all providers in zip 82514 |
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 |
---|---|---|---|---|
1245501808 | Holly Ann Daverin | Dental Hygienist | 29 Black Coal Drive, Fort Washakie Dental Clinic, Fort Washakie, WY 82514-0128 | 2012-01-13 |
1215233168 | Jill Renee Erickson | Dental Hygienist | 29 Black Coal Drive, Fort Washakie, WY 82514 | 2011-02-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114578770 | Jennifer Turner | Dental Hygienist | 1845 Lennox Ave, Casper, WY 82601-4946 | 2019-09-25 |
1366502726 | Cotant Family Dentistry, P.C. | Dental Hygienist | 112 High Street, Buffalo, WY 82834 | 2006-12-08 |
1346504677 | Tammie Ann Madson | Dental Hygienist | 1898 Fort Rd, Sheridan, WY 82801-8320 | 2012-07-02 |
1346543188 | Cynthia Collins Wise | Dental Hygienist | 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 | 2010-12-17 |
1215266762 | Emily J Claunch | Dental Hygienist | 1020 S Conwell St, Casper, WY 82601-3921 | 2009-12-11 |
1992966444 | Andrea M Tuma | Dental Hygienist | 1020 S Conwell St, Casper, WY 82601-3921 | 2008-06-18 |
1770600371 | Jessica Cooper | Dental Hygienist | 1300 E A St, Casper, WY 82601-2260 | 2007-03-26 |
1619094323 | Stacy Smith | Dental Hygienist | 1300 E A St, Suite 208, Casper, WY 82601-2260 | 2007-03-26 |
1316084239 | Peggy Sue Kenyon | Dental Hygienist | 6900 Alden Dr, Ft Warren Afb, WY 82005-3906 | 2007-01-31 |
City | FORT WASHAKIE |
Zip Code | 82514 |
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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.