MRS. LAUREL NICOLE MEDINA (NPI# 1982230355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982230355 |
Entity Type | Individual |
Full Name | MRS. LAUREL NICOLE MEDINA |
Credential | RDH |
Practice Address |
1635 Blue Spruce Dr Fort Collins CO 80524-5427 |
Mailing Address |
1048 Strachan Dr Fort Collins CO 80525-2222 |
Practice Telephone | 9704840999 |
Mailing Telephone | 9704204910 |
Enumeration Date | 2020-03-18 |
Last Update Date | 2020-03-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | DH.000905616 | CO | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689883779 | Laurel Faye Medina | Family Medicine | 1526 N Edgemont St, Los Angeles, CA 90027-5260 | 2007-05-22 |
Street Address |
1635 BLUE SPRUCE DR |
City | FORT COLLINS |
State | CO |
Zip Code | 80524-5427 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184621245 | Laurie Miller | Family Medicine | 1635 Blue Spruce Dr, Fort Collins, CO 80524-5427 | 2005-07-05 |
1306472774 | Caitlin Skiff | Dental Hygienist | 1635 Blue Spruce Dr, Fort Collins, CO 80524-5427 | 2020-03-18 |
1245716091 | Pedro Felix Diaz Ramos | Social Worker | 1635 Blue Spruce Dr, Fort Collins, CO 80524-5427 | 2018-07-16 |
1629597273 | Morgan Hillary Payne | Pharmacist | 1635 Blue Spruce Dr, Fort Collins, CO 80524-5427 | 2017-09-14 |
1124487129 | Lisa Bolander | Social Worker | 1635 Blue Spruce Dr, Fort Collins, CO 80524-5427 | 2016-02-18 |
1750767380 | Catarina Krutsinger | Dentist | 1635 Blue Spruce Dr, Fort Collins, CO 80524-5427 | 2015-08-05 |
1043624331 | Zachary R Shelton | Dentist | 1635 Blue Spruce Dr, Fort Collins, CO 80524-5427 | 2014-06-16 |
1700203874 | Plan De Salud Del Valle Inc | Pharmacy | 1635 Blue Spruce Dr, Fort Collins, CO 80524-5427 | 2014-03-26 |
1811247331 | John Clifford Mann | Physician Assistant | 1635 Blue Spruce Dr, Fort Collins, CO 80524-5427 | 2012-09-12 |
1457673311 | Megan L Mcarthur-federico | Counselor | 1635 Blue Spruce Dr, Fort Collins, CO 80524-5427 | 2010-02-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669084612 | Summitstone Health Partners | Clinic/Center | 1008 Patton St., Fort Collins, CO 80524 | 2020-08-20 |
1396355244 | Kidstuff Child and Family Counseling, P.C. | Psychologist | 1006 Robertson St., Ste. 120, Fort Collins, CO 80524 | 2020-08-05 |
1215561857 | Transform The Nest LLC | Social Worker | 405 A Matthews Street, Fort Collins, CO 80524 | 2020-02-22 |
1326671413 | Laura Ann Doyle | Registered Nurse | 8775 County Road 80.5 # 5, Fort Collins, CO 80524 | 2020-02-17 |
1013496835 | Stepheny Nicol Chapple | Psychologist | 701 S College Drive, 201, Fort Collins, CO 80524 | 2018-08-13 |
1609372432 | Tracy Jo Close | Counselor | 1031 Robinson Street, Fort Collins, CO 80524 | 2018-04-02 |
1831617828 | Rachel Elizabeth Brenner | Counselor | 151 W Lake Rd, Csu Health Network Counseling Services, Fort Collins, CO 80524 | 2017-08-30 |
1205366820 | Victoria Marie Sechser | Specialist/Technologist | 1102 Peterson St, Fort Collins, MN 80524 | 2017-06-15 |
1013367705 | Smith Street LLC | Day Training, Developmentally Disabled Services | 308 Smith St., Fort Collins, CO 80524 | 2016-06-14 |
1811344989 | Ignite Speech-language Services | Clinic/Center | 3921 Celtic Lane, Fort Collins, CO 80524 | 2016-05-18 |
Find all providers in zip 80524 |
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 |
---|---|---|---|---|
1255967626 | Roxanne Kay Powers | Dental Hygienist | 705 Collingswood Dr, Fort Collins, CO 80524-1566 | 2020-03-18 |
1417410952 | Amy M Frazey | Dental Hygienist | 3541 E Harmony Rd Ste 140, Fort Collins, CO 80528-8816 | 2019-04-11 |
1770089732 | Facette Limited LLC | Dental Hygienist | 1100 Haxton Dr Unit 100, Fort Collins, CO 80525-6213 | 2018-03-30 |
1184149015 | Erin Leda Jones | Dental Hygienist | 1100 Haxton Dr Unit 100b, Fort Collins, CO 80525-6213 | 2017-08-11 |
1013363662 | Alexandra Hung | Dental Hygienist | 1241 Riverside Ave., Fort Collins, CO 80524 | 2016-05-12 |
1568762250 | Julie Donette Towers | Dental Hygienist | 4426 Quest Dr, Fort Collins, CO 80524-6032 | 2010-10-27 |
1306175872 | Julie Chamberlin | Dental Hygienist | 4023 Butler Ln, Fort Collins, CO 80526-5055 | 2009-12-13 |
1174799563 | Mary Carol Demchok | Dental Hygienist | Hartshorn Health Service Dental, Colorado State University, Fort Collins, CO 80523-0001 | 2008-05-05 |
1427227180 | Susan Ruth Vogel | Dental Hygienist | 1220 Oak Park Dr Ste 6, Fort Collins, CO 80525-7348 | 2008-02-27 |
1205024460 | Victoria J. Flint | Dental Hygienist | 221 Triangle Dr, Fort Collins, CO 80525-7063 | 2007-10-11 |
Find all providers in FORT COLLINS |
City | FORT COLLINS |
Zip Code | 80524 |
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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.