KEANDRA HUDSON


Address: 4 Atlantic St Sw, Washington, DC 20032-2350
Phone: 2025409862

KEANDRA HUDSON (NPI# 1083263933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083263933
Entity Type Individual
Full Name KEANDRA HUDSON
Credential RDH
Practice Address 4 Atlantic St Sw
Washington
DC 20032-2350
Mailing Address 21110 Eden Dr Apt 319
Sterling
VA 20166-6665
Practice Telephone 2025409862
Mailing Telephone 9039491877
Enumeration Date 2019-09-04
Last Update Date 2019-09-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist HYG10000960 DC Dental Providers

Office Location

Street Address 4 ATLANTIC ST SW
City WASHINGTON
State DC
Zip Code 20032-2350

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508023037 Carla R Henke Family Medicine 4 Atlantic St Sw, Washington, DC 20032-2350 2008-05-21
1053910794 Timika Shante Fisher Registered Nurse 4 Atlantic St Sw, Washington, DC 20032-2350 2020-10-23
1366052813 Deidrix Tucker Dental Hygienist 4 Atlantic St Sw, Washington, DC 20032-2350 2020-08-08
1639791403 Kau Toali Cole Counselor 4 Atlantic St Sw, Washington, DC 20032-2350 2020-05-14
1316579105 Shaunice Wall Dietitian, Registered 4 Atlantic St Sw, Washington, DC 20032-2350 2020-02-10
1336782341 Miranda Jean Social Worker 4 Atlantic St Sw, Washington, DC 20032-2350 2019-10-22
1942868716 Yamilee Fleurival Social Worker 4 Atlantic St Sw, Washington, DC 20032-2350 2019-06-05
1962065896 Matthew Valante Nurse Practitioner 4 Atlantic St Sw, Washington, DC 20032-2350 2019-04-16
1497217061 Gbola J. Oladele Nurse Practitioner 4 Atlantic St Sw, Washington, DC 20032-2350 2019-04-03
1134691934 Sarah Cannon Social Worker 4 Atlantic St Sw, Washington, DC 20032-2350 2018-12-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336753714 Ebonie Hawkins Counselor 101 Xenia St Suite 200 Sw, Washington, DC 20032 2020-09-03
1639788938 Richard Quinones Technician 4346 Livingston Rd Se, B, Washington, DC 20032 2020-07-23
1720603244 Ankur Sah Swarnakar Student in an Organized Health Care Education/Training Program 1100 Alabama Ave Southeast, 2nd Floor, Suite 238, Washington, DC 20032 2020-06-10
1225659519 Michael Thomas Moore Counselor 920 Belview St. Se, Washington, DC 20032 2020-04-28
1144878240 Erika Kirkpatrick Behavior Technician 1218 Southern Ave Apt304 Se, Washgton Dc, DC 20032 2019-08-31
1982251351 Agazit Asihel Counselor Friendship Charter School 645 Milwaukee Pl, Washington Dc, DC 20032 2019-08-21
1538715412 Omonike Grace Adeosun Home Health Aide 2625 Martin Luther King Jr Ave Se, Apt 1, Washington, DC 20032 2019-08-15
1932753571 Nadesh Mengwi Muluh Home Health Aide 2759 Martin Luther King Jr Avenue, Washington, DC 20032 2019-08-01
1376100115 Kelsey Hobart Student in an Organized Health Care Education/Training Program Dc Dbh Seh Psych Residency 1100 Alabama Avenue, Se, Suite 238, Washington, DC 20032 2019-05-28
1407321417 Abigail Christine Burke Physical Therapist 3146 Arnold Avenue Sw, Washington, DC 20032 2018-10-05
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Taxonomy Information

Taxonomy Code 124Q00000X
Grouping Dental Providers
Classification Dental Hygienist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558985267 Kelli Cherie Johnson Dental Hygienist 950 Maine Ave Sw Apt 1215, Washington, DC 20024-3461 2020-05-29
1417471285 Jocelyn Aimee Cramer Dental Hygienist 1999 S Main Street Ext, Washington, PA 15301-3200 2017-08-02
1922541507 Mobile Dental Hygiene of St. George Dental Hygienist 2506 E Wilderness Gate Dr, Washington, UT 84780-2582 2016-11-30
1881083913 Sara Martin Dental Hygienist 460 Waldoboro Rd, Washington, ME 04574-3202 2015-01-13
1376767848 Mary Melissa Brown Dental Hygienist 1306 Saratoga Ave Ne Apt 1, Washington, DC 20018-1964 2007-04-13
1285628263 Wanda Dixon Dental Hygienist 166 Buchanan St Se, Washington, DC 20374 2005-09-07
1699768762 Linda I Maldonato Dental Hygienist Va Medical Cnt Dental Service, 50 Irving St Nw, Washington, DC 20422-0001 2005-08-24
1366052813 Deidrix Tucker Dental Hygienist 4 Atlantic St Sw, Washington, DC 20032-2350 2020-08-08
1083240121 Jennifer Lynn Boyd Dental Hygienist 37 Highland Ave, Washington, PA 15301-4062 2020-03-20
1124668488 Deborah L Brimmer Dental Hygienist 5801 Defense Pentagon, Washington, DC 20310 2020-01-14
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Competitor

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City WASHINGTON
Zip Code 20032

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Dataset Information

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.

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