MS. JENNIFER J MYRICK (NPI# 1871072512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871072512 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER J MYRICK |
| Credential | RDH |
| Practice Address |
195 W 14th Rifle CO 81650-4716 |
| Mailing Address |
Po Box 861 Eagle CO 81631-0861 |
| Practice Telephone | 9706255200 |
| Mailing Telephone | 9203601870 |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2018-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH.000904961 | CO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 124Q00000X | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851690176 | Jennifer A Myrick | Behavioral Analyst | 2601 Sw 81st St, Oklahoma City, OK 73159-4733 | 2011-03-25 |
| 1255712550 | Jennifer L. Myrick | Speech-Language Pathologist | 310 2nd Ave Sw, Miami, OK 74354-6743 | 2015-06-11 |
| 1053471078 | Jennifer Myrick | Physical Therapist | 701 Cashua Ferry Rd, Darlington, SC 29532-8488 | 2006-12-11 |
| Street Address |
195 W 14TH |
| City | RIFLE |
| State | CO |
| Zip Code | 81650-4716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831115815 | Schuyler H Vangorden Iv | Dentist | 195 W 14th, Building C, Rifle, CO 81650-4700 | 2006-07-14 |
| 1093272379 | Jennifer L Bauer | Dental Hygienist | 195 W 14th, Rifle, CO 81650-4716 | 2019-02-22 |
| 1477035905 | Sanju Basi | Dentist | 195 W 14th, Bldg C, Rifle, CO 81650 | 2018-08-31 |
| 1831601822 | Kylee Montoya | Dental Hygienist | 195 W 14th, Rifle, CO 81650-4716 | 2017-10-30 |
| 1033629662 | Kristine Vandeursen | Dental Hygienist | 195 W 14th, Rifle, CO 81650-4716 | 2017-10-10 |
| 1720506934 | Denise Bolton | Dental Hygienist | 195 W 14th, Rifle, CO 81650-4716 | 2017-09-07 |
| 1528591666 | Catherine A Beach | Dental Hygienist | 195 W 14th, Rifle, CO 81650-4716 | 2017-04-05 |
| 1518403872 | Janessa Petermann | Dental Hygienist | 195 W 14th, Rifle, CO 81650-4716 | 2017-01-11 |
| 1295270353 | Jorge Antonio Olivas Estebane | Registered Nurse | 195 W 14th, Rifle, CO 81650-4716 | 2016-12-28 |
| 1447792130 | Kristine Gatdula | Dental Hygienist | 195 W 14th, Rifle, CO 81650-4716 | 2016-11-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811416282 | Denise Louise Schroeder | Dental Hygienist | 195 W. 14th St, Rifle, CO 81650 | 2017-09-16 |
| 1922476456 | Reanna Moore | Dietitian, Registered | 501 Airport Road, Grand River Health, Rifle, CO 81650 | 2015-09-15 |
| 1497155410 | Kelli Yaney | Dental Hygienist | 195 W. 14th St., Rifle, CO 81650 | 2014-08-27 |
| 1558607721 | Garfield County Public Health | Public Health or Welfare | 195 W. 14th Street, Rifle, CO 81650 | 2012-12-17 |
| 1437409869 | Dayle Lynn Christensen | Dental Hygienist | 1430 Railroad Ave Suite B, Rifle, CO 81650 | 2012-09-13 |
| 1962779017 | Alyson Daun Johnson | Dental Hygienist | 600 Fairway Ave, Rifle, CO 81650 | 2011-11-17 |
| 1598051534 | Joshua William Kanik | Family Medicine | 501 Airport Rd Fl 2, Rifle, CO 81650 | 2011-06-28 |
| 1568761815 | Shelly Foote | Pharmacist | 1320 Railroad Ave., Rifle, CO 81650 | 2011-03-24 |
| 1285886010 | Patrick Nmi Miller | Chiropractor | 201 W. 3rd St, Suite 104, Rifle, CO 81650 | 2008-10-10 |
| 1215198320 | Lihua Du | Internal Medicine | 501 Airport Rd., Rifle, CO 81650 | 2008-06-20 |
| Find all providers in zip 81650 | ||||
| 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 |
|---|---|---|---|---|
| 1811416282 | Denise Louise Schroeder | Dental Hygienist | 195 W. 14th St, Rifle, CO 81650 | 2017-09-16 |
| 1497155410 | Kelli Yaney | Dental Hygienist | 195 W. 14th St., Rifle, CO 81650 | 2014-08-27 |
| 1437409869 | Dayle Lynn Christensen | Dental Hygienist | 1430 Railroad Ave Suite B, Rifle, CO 81650 | 2012-09-13 |
| 1962779017 | Alyson Daun Johnson | Dental Hygienist | 600 Fairway Ave, Rifle, CO 81650 | 2011-11-17 |
| 1093272379 | Jennifer L Bauer | Dental Hygienist | 195 W 14th, Rifle, CO 81650-4716 | 2019-02-22 |
| 1831601822 | Kylee Montoya | Dental Hygienist | 195 W 14th, Rifle, CO 81650-4716 | 2017-10-30 |
| 1033629662 | Kristine Vandeursen | Dental Hygienist | 195 W 14th, Rifle, CO 81650-4716 | 2017-10-10 |
| 1720506934 | Denise Bolton | Dental Hygienist | 195 W 14th, Rifle, CO 81650-4716 | 2017-09-07 |
| 1528591666 | Catherine A Beach | Dental Hygienist | 195 W 14th, Rifle, CO 81650-4716 | 2017-04-05 |
| 1518403872 | Janessa Petermann | Dental Hygienist | 195 W 14th, Rifle, CO 81650-4716 | 2017-01-11 |
| Find all providers in RIFLE | ||||
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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.