KELLY WARD (NPI# 1790222479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790222479 |
Entity Type | Individual |
Full Name | KELLY WARD |
Practice Address |
101 West Coast Road Suite A Redway CA 95560 |
Mailing Address |
1173 Angel Heights Dr Fortuna CA 95540-1530 |
Practice Telephone | 7079234313 |
Practice Fax Number | 7079232590 |
Mailing Telephone | 7074078071 |
Enumeration Date | 2017-01-19 |
Last Update Date | 2017-01-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | 29096 | CA | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972850725 | Kelly Ward | Registered Nurse | 22330 Montana Dr, Lawrenceburg, IN 47025-7446 | 2012-08-11 |
1730462557 | Kelly Ward | Speech-Language Pathologist | 445 Wild Ridge Rd, Morehead, KY 40351-9561 | 2011-09-28 |
1295876332 | Kelly Ward | Counselor | 400 Cedar Ave, Department of Social Work, West Long Branch, NJ 07764-1804 | 2007-02-10 |
1528016912 | Kelly E Ward | Nurse Practitioner | 8300 E 96th St, Fishers, IN 46037-9795 | 2006-05-05 |
1851877906 | Kelly Ward | Social Worker | 2015 Congress St, Houston, TX 77002-2323 | 2018-07-12 |
1043708530 | Kelly Mcdowell Ward | Speech-Language Pathologist | 915 Court St, Lynchburg, VA 24504-1603 | 2018-04-30 |
1538668934 | Kelly Ward | Behavior Technician | 2151 Professional Dr Ste 100, Roseville, CA 95661-3761 | 2018-02-12 |
1770948226 | Kelly Jasmine Ward | Registered Nurse | 4600 Broadway, Suite 1100, Sacramento, CA 95820-1527 | 2015-12-29 |
1689042871 | Kelly Ward | Specialist | 816 Nw Hill St, Bend, OR 97703-2925 | 2015-09-04 |
1538582549 | Kelly Ward | Registered Nurse | 70 S River St, Aurora, IL 60506-5185 | 2014-01-27 |
Street Address |
101 WEST COAST ROAD SUITE A |
City | REDWAY |
State | CA |
Zip Code | 95560 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093965725 | Pearl Mcginley | Acupuncturist | 3168 Redwood Dr, Redway, CA 95560 | 2008-09-30 |
1023290301 | Blake Jerome Olson | Dentist | 101 Westcoast Rd., Redway, CA 95560 | 2007-11-29 |
1699803262 | Frank J. Di Bari | Dentist | 76 Briceland Road, Redway, CA 95560 | 2007-03-02 |
1700950276 | Maryanne Riley | Nurse Practitioner | 101 Westcoast Rd, Redway, CA 95560 | 2006-11-17 |
1689748147 | Marilyn Lee Foote | Social Worker | 101 West Coast Rd, Redway, CA 95560 | 2006-11-17 |
1447324900 | Kathleen Louise Hartje | Acupuncturist | 101 Westcoast Road, Redway, CA 95560 | 2006-11-17 |
1689764136 | Matthew R Winkle | Dentist | 101 West Coast Road, Redwoods Rural Health Center, Redway, CA 95560 | 2006-10-13 |
1235220542 | Richard Linn | Dentist | 355 Briceland Road, Redway, CA 95560 | 2006-09-28 |
1093717019 | Steve A Norton | Dentist | 76 Briceland Rd, Redway, CA 95560 | 2005-08-10 |
1013482231 | Morgan Danielle Hines | Physician Assistant | 101 West Coast Rd, B, Redway, CA 95560 | 2018-10-04 |
Find all providers in zip 95560 |
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 |
---|---|---|---|---|
1447719869 | Natalie Goltz | Dental Hygienist | 101 West Coast Rd., Redway, CA 95560-9556 | 2019-03-15 |
1043702475 | Susan Bowles | Dental Hygienist | 101 West Coast Rd., Redway, CA 95560-0769 | 2018-06-01 |
1780916429 | James G Paige | Dental Hygienist | 101 Westcoast Rd, Redway, CA 95560-0769 | 2010-02-05 |
1124242888 | Megan Mccormack | Dental Hygienist | 101 West Coast Rd, Redway, CA 95560 | 2007-04-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346841046 | Betty Satomi Fukumoto | Dental Hygienist | 16008 S Manhattan Pl, Gardena, CA 90247-3681 | 2020-11-08 |
1417558180 | Maria Antonette De Lara Kim | Dental Hygienist | 66 S San Gorgonio Ave Ste 5, Banning, CA 92220-6020 | 2020-11-07 |
1083215982 | Sokbunntha Yan | Dental Hygienist | 5810 Fidler Ave, Lakewood, CA 90712-1251 | 2020-11-06 |
1649871914 | Maryam Ghahramani Shahneshin | Dental Hygienist | 1961 Grove Pl, Escondido, CA 92027-4101 | 2020-11-04 |
1285234047 | Maryann Detar | Dental Hygienist | 3154 Alum Rock Ave, San Jose, CA 95127-2903 | 2020-10-29 |
1194325597 | Connie Lim Good | Dental Hygienist | 14th Street Bldg 13128, Oceanside, CA 92055 | 2020-10-27 |
1336748896 | Cynthia Garcia Macdougall | Dental Hygienist | 444 Hermosa Ave Apt 302, Hermosa Beach, CA 90254-4433 | 2020-10-25 |
1346849163 | Ambrosia Evon Steljes | Dental Hygienist | Building 13128 14th Street, Camp Pendleton, CA 92055-5221 | 2020-10-22 |
1427657261 | Julie Lynn March | Dental Hygienist | 19871 Mitscher Way Bldg 2495, San Diego, CA 92145-5103 | 2020-10-22 |
1386243327 | Leticia Isabel Alcantar | Dental Hygienist | Bldg 520448, Camp Pendleton, CA 92055 | 2020-10-21 |
Find all providers with the same taxonomy |
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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.