MRS. NICOLE MARIE BERRY (NPI# 1952771263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952771263 |
| Entity Type | Individual |
| Full Name | MRS. NICOLE MARIE BERRY |
| Credential | RDH |
| Practice Address |
108 New Glendale Rd Elizabethtown KY 42701-1023 |
| Mailing Address |
600 Edgewater Dr Elizabethtown KY 42701-2122 |
| Practice Telephone | 2707691601 |
| Practice Fax Number | 2707657274 |
| Mailing Telephone | 2707667602 |
| Mailing Fax Number | 2707657274 |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2015-09-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 3995 | KY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295152957 | Nicole Berry | Counselor | 465 W 41st St Ph, Miami Beach, FL 33140-3503 | 2014-03-19 |
| 1982855714 | Nicole Dione Berry | Nurse Practitioner | 2577 Richmond Rd, Beachwood, OH 44122 | 2008-10-10 |
| 1730780693 | Nicole Berry | Occupational Therapist | 299 Hallock Ave, Port Jeff Sta, NY 11776-1217 | 2020-11-05 |
| 1952933798 | Nicole Elizabeth Berry | Student in an Organized Health Care Education/Training Program | 1280 E Campus Dr, Mount Pleasant, MI 48858-3803 | 2020-02-10 |
| 1477106466 | Nicole Berry | Nurse Anesthetist, Certified Registered | 8201 W Broward Blvd, Plantation, FL 33324-2701 | 2019-07-19 |
| 1174839393 | Nicole Christine Berry | Speech-Language Pathologist | 3401 Cranberry Blvd, Weston, WI 54476-5217 | 2010-08-25 |
| 1194958629 | Nicole Lynette Berry | Pharmacist | 5250 Moncrief Rd W, Jacksonville, FL 32209-1048 | 2009-09-01 |
| Street Address |
108 NEW GLENDALE RD |
| City | ELIZABETHTOWN |
| State | KY |
| Zip Code | 42701-1023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255309886 | Barbara Kovalchik | Registered Nurse | 108 New Glendale Rd, Elizabethtown, KY 42701-1023 | 2006-03-09 |
| 1235794983 | Samantha Jo Lyman | Case Manager/Care Coordinator | 108 New Glendale Rd, Elizabethtown, KY 42701-1023 | 2019-05-08 |
| 1861957136 | Rebecca Aldridge | Case Manager/Care Coordinator | 108 New Glendale Rd, Elizabethtown, KY 42701-1023 | 2019-01-31 |
| 1316476781 | Kristen Mccann Greenwell | Case Manager/Care Coordinator | 108 New Glendale Rd, Elizabethtown, KY 42701-1023 | 2017-06-08 |
| 1629525779 | Denise Michele Grant | Dental Hygienist | 108 New Glendale Rd, Elizabethtown, KY 42701-1023 | 2016-09-07 |
| 1639624893 | Glenda Bastin | Registered Nurse | 108 New Glendale Rd, Elizabethtown, KY 42701-1023 | 2016-08-17 |
| 1689072373 | Gwendolyn Yvette Kloeppel | Dental Hygienist | 108 New Glendale Rd, Elizabethtown, KY 42701-1023 | 2014-12-11 |
| 1306244199 | Angela Marie Corbett | Dental Hygienist | 108 New Glendale Rd, Elizabethtown, KY 42701-1023 | 2014-12-11 |
| 1669870457 | Leigh Ann Ulrich | Dental Hygienist | 108 New Glendale Rd, Elizabethtown, KY 42701-1023 | 2014-12-11 |
| 1871991679 | Jessica Lee Donahue | Dental Hygienist | 108 New Glendale Rd, Elizabethtown, KY 42701-1023 | 2014-12-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693104 | James G. Thornton | Specialist/Technologist, Other | 2409 Ring Road, Suite 106, Elizabethtown, KY 42701 | 2020-09-11 |
| 1033720727 | Rebecca Williams | Pharmacist | 1602 N Dixie Highway, Elizabethtown, KY 42701 | 2020-08-14 |
| 1245855709 | Mckenzie Jo Clemons | Speech-Language Pathologist | 107 Financial Drive, Elizabethtown, KY 42701 | 2020-06-10 |
| 1215565825 | Christina Nichole Hobson | Peer Specialist | 413 E Dixie Ste 106, Elizabethtown, KY 42701 | 2020-03-30 |
| 1336701275 | Cassandra Elizabeth Baker | Nurse Practitioner | 2005 N. Dixie Highway, Elizabethtown, KY 42701 | 2019-07-01 |
| 1487134276 | Ryan Leon Hogan | Marriage & Family Therapist | 1106 Tunnel Hill Road, Suite 100, Elizabethtown, KY 42701 | 2018-08-21 |
| 1033623921 | Kayla Russell | Behavior Technician | 529 Westport Road, Elizabethtown, KY 42701 | 2017-11-30 |
| 1578087128 | Brenda Gale Nunn | Case Manager/Care Coordinator | 2600 Ring Road, Elizabethtown, KY 42701 | 2017-07-26 |
| 1013451277 | Chelsea Danielle Thorn | Nurse Practitioner | 2005 N. Dixie Hwy, Elizabethtown, KY 42701 | 2016-12-07 |
| 1003364597 | Joseph Michael Senay | Pharmacist | 521 Robinbrooke Dr., Cancer Care Center of Hardin Memorial Hospital, Elizabethtown, KY 42701 | 2016-09-14 |
| Find all providers in zip 42701 | ||||
| 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 |
|---|---|---|---|---|
| 1629525779 | Denise Michele Grant | Dental Hygienist | 108 New Glendale Rd, Elizabethtown, KY 42701-1023 | 2016-09-07 |
| 1689072373 | Gwendolyn Yvette Kloeppel | Dental Hygienist | 108 New Glendale Rd, Elizabethtown, KY 42701-1023 | 2014-12-11 |
| 1306244199 | Angela Marie Corbett | Dental Hygienist | 108 New Glendale Rd, Elizabethtown, KY 42701-1023 | 2014-12-11 |
| 1669870457 | Leigh Ann Ulrich | Dental Hygienist | 108 New Glendale Rd, Elizabethtown, KY 42701-1023 | 2014-12-11 |
| 1871991679 | Jessica Lee Donahue | Dental Hygienist | 108 New Glendale Rd, Elizabethtown, KY 42701-1023 | 2014-12-10 |
| 1962800714 | Layla Catherine Mattingly | Dental Hygienist | 108 New Glendale Rd, Elizabethtown, KY 42701-1023 | 2014-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215554274 | Cheryl Lynn Kennedy | Dental Hygienist | 146 Whitman Way, Georgetown, KY 40324-8690 | 2020-06-25 |
| 1538675483 | Aimee Medders | Dental Hygienist | 968 1st Infantry Division Rd Bldg 2724, Fort Knox, KY 40121-5210 | 2017-12-14 |
| 1104277177 | Danielle Lynn Gerage | Dental Hygienist | 465 Monks Rd, New Haven, KY 40051-6195 | 2016-06-30 |
| 1609259258 | Laura Aline Gossom | Dental Hygienist | 5405 Bloomfield Rd, Bardstown, KY 40004-9195 | 2015-07-01 |
| 1598161127 | Carol Brenner | Dental Hygienist | 3312 Ellis Way, Louisville, KY 40220-1944 | 2014-11-10 |
| 1811290513 | Michelle Marie Hanke | Dental Hygienist | 4393 Jasmine Rose Way, Lexington, KY 40515-6351 | 2010-12-19 |
| 1841450749 | Melinda Marie Phillips | Dental Hygienist | 8250 Coppercreek Dr, Louisville, KY 40222-6820 | 2008-06-13 |
| 1366655193 | Belinda Denise Demond | Dental Hygienist | 1511 Kirkwood Dr, Murray, KY 42071-3222 | 2007-05-08 |
| 1548336985 | W Bruce Combest Psc | Dental Hygienist | 402 Richmond Rd, Suite C, Berea, KY 40403 | 2006-11-28 |
| 1710597331 | Amber Archey | Dental Hygienist | 2441 21st St, Fort Campbell, KY 42223-5582 | 2020-08-07 |
| Find all providers with the same taxonomy | ||||
| City | ELIZABETHTOWN |
| Zip Code | 42701 |
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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.