MS. SHELLEY FAY MATHEWS (NPI# 1861830853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861830853 |
| Entity Type | Individual |
| Full Name | MS. SHELLEY FAY MATHEWS |
| Credential | RDH ECP II |
| Practice Address |
21 N 12th St Ste 300 Kansas City KS 66102-5105 |
| Practice Telephone | 9133422552 |
| Practice Fax Number | 9134288999 |
| Mailing Telephone | 9133422552 |
| Mailing Fax Number | 9134288999 |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2013-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 124Q00000X | Dental Hygienist | 2011037744 | MO | Dental Providers |
| Y | 124Q00000X | Dental Hygienist | 10670 | KS | Dental Providers |
| Street Address |
21 N 12TH ST STE 300 |
| City | KANSAS CITY |
| State | KS |
| Zip Code | 66102-5105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962623058 | Julie Lynne Thorne | Nurse Practitioner | 21 N 12th St Ste 300, Kansas City, KS 66102-5105 | 2007-05-02 |
| 1609380401 | Turner House Clinic Inc | Social Worker | 21 N 12th St Ste 300, Kansas City, KS 66102-5105 | 2017-12-01 |
| 1366970964 | Dairi Amaya Lazo | Social Worker | 21 N 12th St Ste 300, Kansas City, KS 66102-5105 | 2017-05-25 |
| 1447612619 | Leslie Ann Falcon | Pediatrics | 21 N 12th St Ste 300, Kansas City, KS 66102-5105 | 2016-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083221303 | Thrive Restorative Services | Social Worker | 1911 North 62nd Street, Kansas City, KS 66102 | 2020-09-30 |
| 1962904680 | Robyn Smith | Nurse's Aide | 1711 N 58th Street, Kansas City, KS 66102 | 2018-03-08 |
| 1427564756 | Kimberly Lartey Hardeman | Midwife, Lay | 4705 Nebraska Avenue, Kansas City, KS 66102 | 2017-12-22 |
| 1396116117 | 47th Street Dental Center, LLC | Dentist | 4301 State Ave Bldg A, Kansas City, KS 66102 | 2015-10-20 |
| 1336550763 | Carlie Thomas | Case Manager/Care Coordinator | 417 North 17th Street, Kansas City, KS 66102 | 2014-05-20 |
| 1053619932 | Karla Christine Wright | Speech-Language Pathologist | 4911 State Ave/, Kansas City, KS 66102 | 2011-03-02 |
| 1679734263 | Total Renal Care Inc | Clinic/Center | 5001 State Ave, Kansas City, KS 66102 | 2008-06-17 |
| 1255513040 | Maureen Liddiard | Social Worker | 1223 Meadowlark Lane, Kansas City, KS 66102 | 2007-12-04 |
| 1841499175 | Lori Ann Erwin | Counselor | 1333 Meadowlark Lane, Suite 205 Tfi Family Services Behavioral Health, Kansas City, KS 66102 | 2007-07-17 |
| 1669679023 | Lynn Alan Barrett | Marriage & Family Therapist | 1301 N. 47th, Kansas City, KS 66102 | 2007-06-29 |
| Find all providers in zip 66102 | ||||
| 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 |
|---|---|---|---|---|
| 1467843391 | Nathanael Myers | Dental Hygienist | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2015-02-13 |
| 1144577487 | Anne Lograsso | Dental Hygienist | 7900 Lees Summit Rd, Kansas City, MO 64139-1236 | 2012-08-06 |
| 1225384860 | Kristy Andrews | Dental Hygienist | 7900 Lees Summit Rd, Kansas City, MO 64139-1236 | 2012-08-01 |
| 1649526658 | Marisol Lewis | Dental Hygienist | 7900 Lees Summit Rd, Department of Dentistry, Kansas City, MO 64139-1236 | 2012-07-27 |
| 1730457219 | Danielle Mignon Lasater | Dental Hygienist | 825 Euclid Ave, Kansas City, MO 64124-2323 | 2011-12-12 |
| 1316244536 | Emily C Eigensee | Dental Hygienist | 825 Euclid Ave, Kansas City, MO 64124-2323 | 2011-02-24 |
| 1174837751 | Stephanie Lynn Prusa | Dental Hygienist | 753 State Ave, Kansas City, KS 66101-2516 | 2010-08-05 |
| 1477686335 | Sally A Cook | Dental Hygienist | 2816 E 23rd St, Kansas City, MO 64127-4002 | 2007-03-13 |
| 1245344845 | Gladis C Jones | Dental Hygienist | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710505227 | Kandice Sublette | Dental Hygienist | 1314 Sutter Woods Rd, Junction City, KS 66441-2581 | 2020-07-10 |
| 1093369407 | Kaylee Nicole Sexton | Dental Hygienist | 2051 N State St # Sr, Iola, KS 66749-1677 | 2019-07-25 |
| 1669958336 | Sara Glotzbach | Dental Hygienist | 4000 Overland Dr, Lawrence, KS 66049-4120 | 2018-07-16 |
| 1932614328 | Danielle Lee Hermann | Dental Hygienist | 5437 Wild Horse Rd, Mc Louth, KS 66054-4222 | 2017-12-06 |
| 1831604677 | Lindsay Brianna Lee | Dental Hygienist | 18409 Juniper Ter, Gardner, KS 66030-9149 | 2017-12-01 |
| 1104214816 | Quail Crest Imaging, LLC | Dental Hygienist | 4830 Quail Crest Pl Ste B, Lawrence, KS 66049-3842 | 2015-01-05 |
| 1891128385 | Christen C Lacey | Dental Hygienist | 5222 Trego Rd, Atchison, KS 66002-5108 | 2013-08-20 |
| 1720425283 | Meghan Leigh Hoshaw | Dental Hygienist | 831 Joanie Ln, Salina, KS 67401-9659 | 2013-05-23 |
| 1962745794 | Luz Del Carmen Estrada | Dental Hygienist | 2300 N 14th Ave Ste 202, Dodge City, KS 67801-2367 | 2013-03-29 |
| 1962736884 | Kristina Lynn Lobb | Dental Hygienist | 706 River St, Tonganoxie, KS 66086-9586 | 2009-09-24 |
| Find all providers with the same taxonomy | ||||
| City | KANSAS CITY |
| Zip Code | 66102 |
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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.