KEANDRA HUDSON (NPI# 1083263933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | HYG10000960 | DC | Dental Providers |
| Street Address |
4 ATLANTIC ST SW |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20032-2350 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 20032 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20032 |
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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.