NICOLE LYNN CONNELL (NPI# 1912518150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912518150 |
| Entity Type | Individual |
| Full Name | NICOLE LYNN CONNELL |
| Credential | R.D.H |
| Practice Address |
204 Hwy 164 East Oquawka IL 61469 |
| Mailing Address |
508 East Boston Ave. Monmouth IL 61462 |
| Practice Telephone | 3098672770 |
| Mailing Telephone | 3095360134 |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 020.011296 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366866485 | Nicole M. Connell | Nurse Practitioner | 2004 Mowry Rd, Gainesville, FL 32610-3033 | 2014-02-10 |
| 1871008110 | Nicole Connell | Psychologist | 1201 5th Ave, Belvidere, IL 61008-5125 | 2017-12-08 |
| Street Address |
204 HWY 164 EAST |
| City | OQUAWKA |
| State | IL |
| Zip Code | 61469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851925804 | Craig Osborn | Nurse Practitioner | 1204 Il-164, Oquawka, IL 61469 | 2020-02-28 |
| 1154963379 | Cara Allen | Social Worker | Highway 164 East, Oquawka, IL 61469 | 2019-10-09 |
| 1770097131 | Susan Jensen | Social Worker | 1204 Highway 164e, Oquawka, IL 61469 | 2017-11-21 |
| 1265817977 | Crystal Ann Simpson | Dentist | 1204 Hwy 164 E., Oquawka, IL 61469 | 2015-07-23 |
| 1932454873 | Jonathan Mark Dingeldein | Dentist | 1204 Hwy 164 E, Oquawka, IL 61469 | 2012-07-17 |
| 1124209432 | Jonathan Lindo | General Practice | 1204 Hwy 164 East, Oquawka, IL 61469 | 2007-11-15 |
| 1144354432 | North Henderson County Ambulance Service Inc. | Ambulance | 411 Warren St, Oquawka, IL 61469 | 2007-03-16 |
| 1841801099 | Shannon Kelly Miller | Dental Hygienist | 1204 Hwy 164 E, Oquawka, IL 61469 | 2020-08-12 |
| 1275061582 | Obaid Shah | Dentist | 1204 Highway 164 East, Oquawka, IL 61469 | 2017-05-31 |
| 1790003960 | Greg B Godfrey | Dentist | 1204 Highway 164 East, Oquawka, IL 61469 | 2010-05-12 |
| Find all providers in zip 61469 | ||||
| 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 |
|---|---|---|---|---|
| 1841801099 | Shannon Kelly Miller | Dental Hygienist | 1204 Hwy 164 E, Oquawka, IL 61469 | 2020-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457950891 | Laura Jean Baus | Dental Hygienist | 519 E Bode Rd, Streamwood, IL 60107-6897 | 2020-10-17 |
| 1972114551 | Chelsea R Black | Dental Hygienist | 428 N 8th St, Auburn, IL 62615-1006 | 2020-08-16 |
| 1073122016 | Ann Frederickson | Dental Hygienist | 9851 S Homan Ave, Evergreen Park, IL 60805-3041 | 2020-07-27 |
| 1588289805 | Joy Lantz | Dental Hygienist | 16335 Harlem Ave Ste 422, Tinley Park, IL 60477-2877 | 2020-06-11 |
| 1740805381 | Goran Lazic | Dental Hygienist | 109 Annapolis Dr, Vernon Hills, IL 60061-2057 | 2020-06-09 |
| 1568085991 | Amy Lappin | Dental Hygienist | 335 Hidden Creek Rd, Lake Zurich, IL 60047-7116 | 2020-05-20 |
| 1114540630 | Krista M Walsh | Dental Hygienist | 890 Brookforest Ave Unit D, Shorewood, IL 60404-8838 | 2020-05-19 |
| 1881214658 | Sherri Foran | Dental Hygienist | 127 60th St, Downers Grove, IL 60516-2038 | 2020-04-22 |
| 1124666573 | Katherine Lynn Leiva | Dental Hygienist | 1791 Dempsey Cir, Pingree Grove, IL 60140-8019 | 2019-12-17 |
| 1417504192 | Laura M Scully | Dental Hygienist | 7013 W Farragut Ave, Chicago, IL 60656-1923 | 2019-08-19 |
| 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.