MS. AMY TRIPP (NPI# 1063958924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063958924 |
| Entity Type | Individual |
| Full Name | MS. AMY TRIPP |
| Practice Address |
1701 Nw Hawthorne Ave Grants Pass OR 97526-1257 |
| Practice Telephone | 5414796393 |
| Mailing Telephone | 5414796393 |
| Enumeration Date | 2017-01-16 |
| Last Update Date | 2017-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | H4891 | OR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154954659 | Amy Tripp | Social Worker | 71 W 23rd St Ste 704, New York, NY 10010-4299 | 2020-02-13 |
| Street Address |
1701 NW HAWTHORNE AVE |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97526-1257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740272285 | Kristin Miller | Family Medicine | 1701 Nw Hawthorne Ave, Suite 201, Grants Pass, OR 97526-1257 | 2005-08-19 |
| 1245846922 | Allison Mae Swanson | Dentist | 1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1051 | 2020-09-18 |
| 1649821216 | Jodi Michelle Bostwick | Nurse Practitioner | 1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1051 | 2019-09-25 |
| 1063998730 | Donald Ray Draper | Dentist | 1701 Nw Hawthorne Ave, Grants Pass, OR 97526 | 2018-07-16 |
| 1427563337 | Andrew Martin | Nurse Practitioner | 1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1051 | 2017-12-14 |
| 1528581550 | Lauren Smith | Dentist | 1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1051 | 2017-07-21 |
| 1619428208 | Christopher Robert Cielinski | Physician Assistant | 1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1051 | 2016-10-18 |
| 1275081184 | Paloma Sita Kolkow | Nurse Practitioner | 1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1257 | 2016-09-20 |
| 1780034629 | Devin Nelson | Dentist | 1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1257 | 2016-06-21 |
| 1881049658 | Siskiyou Community Health Center Pharmacy | Pharmacy | 1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1257 | 2016-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205476777 | Kyla M Mccormick | Peer Specialist | 109 Nw Manzanita Avenue, Grants Pass, OR 97526 | 2020-01-13 |
| 1164076469 | Alicia Yvonne Hansen | Counselor | 1055 Clarey St., Grants Pass, OR 97526 | 2019-07-25 |
| 1841842598 | Michael Liam Reynolds, Dds, LLC | Dentist | 984 Ne 8th Street, Grants Pass Oregon, Grants Pass, OR 97526 | 2019-07-12 |
| 1881254746 | Brandi Mccrorey | Counselor | 418 Ne 6th Street, Suite 102, Grants Pass, OR 97526 | 2019-06-13 |
| 1700364502 | Premier Community Supports, LLC. | Day Training, Developmentally Disabled Services | 1439 Ne 6th St Ste C, Grants Pass, OR 97526 | 2018-08-02 |
| 1821584509 | Stefani Mcintyre | Massage Therapist | 1590 Se N Street, Warehouse #1574, Grants Pass, OR 97526 | 2018-07-06 |
| 1114467438 | Sandra P Martin | Chiropractor | 333 Sw 5th St. Suite B, Grants Pass, OR 97526 | 2017-03-06 |
| 1801347612 | Maci Wageman | Counselor | 1215 Sw G St Grants Pass Oregon 97526, Grants Pass, OR 97526 | 2016-10-17 |
| 1902353907 | Optimal Health of Southern Oregon, LLC | Family Medicine | 1600 Nw 6th St South Suite, Grants Pass, OR 97526 | 2016-09-07 |
| 1982150793 | Tanya White | Counselor | 402 Nw Fstreet, Grants Pass, OR 97526 | 2016-08-31 |
| Find all providers in zip 97526 | ||||
| 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 |
|---|---|---|---|---|
| 1366051955 | Tia Glanding | Dental Hygienist | 490 W Pickett Creek Rd, Grants Pass, OR 97527-9668 | 2020-07-29 |
| 1568014223 | Diana Lynn Porter | Dental Hygienist | 1705 Hawthorne Ave., Grants Pass, OR 97526-9752 | 2019-07-12 |
| 1306303276 | Amanda Matney | Dental Hygienist | 832 Skylark Ln, Grants Pass, OR 97527-6188 | 2019-02-26 |
| 1093188674 | Kelli Beaumont | Dental Hygienist | 1075 Se Belle Aire Dr, Grants Pass, OR 97526-3270 | 2015-11-04 |
| 1730329046 | Gerd Solveig Taylor | Dental Hygienist | 5550 Upper River Road, Grants Pass, OR 97526 | 2009-02-26 |
| 1821373994 | Rosemary Monette | Dental Hygienist | 201 Ne Savage St, Grants Pass, OR 97526-1309 | 2011-10-19 |
| 1427338797 | Alvin H. L. Ahlstrom | Dental Hygienist | 1201 Ne 7th St, Suite E, Grants Pass, OR 97526-1451 | 2011-08-18 |
| 1194026799 | Cathlean Ann Palmer | Dental Hygienist | 1201 Ne 7th St, Suite A, Grants Pass, OR 97526-1451 | 2010-11-12 |
| 1407022775 | Serena Teresa Stanger | Dental Hygienist | 1035 Ne 6th St, Ste B, Grants Pass, OR 97526-1298 | 2008-05-06 |
| 1205002136 | Siskiyou Community Health Center Inc | Dental Hygienist | 1035 Ne 6th St, Suite B, Grants Pass, OR 97526-1298 | 2008-04-30 |
| Find all providers in GRANTS PASS | ||||
| City | GRANTS PASS |
| Zip Code | 97526 |
Please comment or provide details below to improve the information on MS. AMY TRIPP.
| 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.