ANNALISA TIETJEN I (NPI# 1932506227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932506227 |
Entity Type | Individual |
Full Name | ANNALISA TIETJEN I |
Practice Address |
714 Ave C Fort Pierce FL 32909 |
Mailing Address |
5150 Nw Milner Dr Port Saint Lucie FL 34983-3392 |
Practice Telephone | 7724623800 |
Practice Fax Number | 7724623801 |
Mailing Telephone | 7724623800 |
Mailing Fax Number | 7724623801 |
Enumeration Date | 2014-12-02 |
Last Update Date | 2014-12-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | DH17092 | FL | Dental Providers |
Street Address |
714 AVE C |
City | FORT PIERCE |
State | FL |
Zip Code | 32909 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205447349 | Sarah Nicosia | Registered Nurse | 2752 Palisades Dr, Palm Bay, FL 32909 | 2020-08-12 |
1447881297 | Shangri-la of Palm Bay Alf, LLC | Assisted Living Facility | 3604 Jupiter Blvd. Se, Palm Bay, FL 32909 | 2020-01-30 |
1972094357 | Mindful Counseling and Wellness LLC | Social Worker | 221 Devlin Ct Se, Palm Bay, FL 32909 | 2018-05-22 |
1306348859 | Mallory Kathleen Herndon | Behavior Technician | 458 Barcelona Rd, Palm Bay, FL 32909 | 2018-03-01 |
1548786627 | Chotsani Merrill | Home Health Aide | 781 Davenport St Se, Palm Bay, FL 32909 | 2017-08-21 |
1639629538 | Maggie Cameron | Clinic/Center | 2511 Quentin Ave Ne, Palm Bay, FL 32909 | 2016-10-04 |
1194195016 | Dawn Goodwin | Pharmacist | 3450 Bayside Lakes Shopping Center, Palm Bay, FL 32909 | 2015-10-05 |
1124407796 | Jorge Ortiz | Physical Therapist | 470 Malabar Rd Se, Ste 102, Palm Bay, FL 32909 | 2015-05-28 |
1194147611 | Carl Glenmore Morrison Sr. | General Practice | 2125 Windbrook Drive, Palm Bay, FL 32909 | 2014-01-17 |
1366888422 | Kristie M Houle | Nurse Practitioner | 3238 Warsaw Ave, Palm Bay, FL 32909 | 2013-05-16 |
Find all providers in zip 32909 |
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 |
---|---|---|---|---|
1922635952 | Rosanna L Walker | Dental Hygienist | 714 Avenue C, Fort Pierce, FL 34950-4189 | 2020-03-27 |
1689157182 | Violeta Trujillo Garcia | Dental Hygienist | 714 Avenue C, Fort Pierce, FL 34950-4189 | 2018-09-11 |
1366969107 | Faten Mustafa | Dental Hygienist | 714 Avenue C, Fort Pierce, FL 34950-4189 | 2017-08-23 |
1407253602 | Patricia Lowe | Dental Hygienist | 714 Avenue C, Fort Pierce, FL 34950-4189 | 2014-12-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164037453 | Mary Kate Pace | Dental Hygienist | 1115 N Eglin Pkwy, Shalimar, FL 32579-1228 | 2020-09-13 |
1578173910 | Kimberly Beck | Dental Hygienist | 18030 Sandtrap Dr, Naples, FL 34114-7596 | 2020-07-31 |
1962012328 | Melody Jean Garcia | Dental Hygienist | Navy Medicene Support Command : Medical Staff Services, Bldg H, 2005 Knight Lane, Jacksonville, FL 32221-0140 | 2020-07-31 |
1043829385 | Mailyn Cortes | Dental Hygienist | 1134 Sw 12th Ct, Miami, FL 33135-5418 | 2020-07-22 |
1841817988 | Polly Ward | Dental Hygienist | 1022 Main St Ste P, Dunedin, FL 34698-5225 | 2020-07-04 |
1760007959 | Leanne Crist Nichol | Dental Hygienist | 6957 Boulder Run Loop, Wesley Chapel, FL 33545-4854 | 2020-06-12 |
1124641337 | Rhoda P Kublickis | Dental Hygienist | 274 Tropic Dr, Lauderdale By The Sea, FL 33308-5428 | 2020-05-21 |
1306468533 | Heather Paul | Dental Hygienist | 8839 Handel Loop, Land O Lakes, FL 34637 | 2020-05-11 |
1902426729 | Jose Dalby Contreras | Dental Hygienist | 690 Sw 1st Ct Apt 2319, Miami, FL 33130-2927 | 2020-04-22 |
1659991974 | Maggie Cruciata | Dental Hygienist | 974 International Pkwy, Lake Mary, FL 32746-5219 | 2020-04-17 |
Find all providers with the same taxonomy |
City | FORT PIERCE |
Zip Code | 32909 |
Please comment or provide details below to improve the information on ANNALISA TIETJEN I.
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.