ALYSSA HIGGINS


Address: 1407 N Veterans Pkwy, Suite 12, Bloomington, IL 61704-6630
Phone: 3096612999

ALYSSA HIGGINS (NPI# 1124476148) 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) 1124476148
Entity Type Individual
Full Name ALYSSA HIGGINS
Practice Address 1407 N Veterans Pkwy
Suite 12
Bloomington
IL 61704-6630
Mailing Address 901 Sheridan St
Chenoa
IL 61726-1442
Practice Telephone 3096612999
Mailing Telephone 3095300683
Enumeration Date 2016-05-31
Last Update Date 2016-05-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist 020.014749 IL Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL 46-1340371 05

Other Providers ALYSSA HIGGINS

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1811503295 Alyssa M Higgins Physical Therapist 7325 E Princess Blvd, Scottsdale, AZ 85255-5991 2020-09-21
1609306315 Alyssa Danielle Higgins Student in an Organized Health Care Education/Training Program 1125 Madison St Dept Of, Jefferson City, MO 65101-5227 2017-06-14

Office Location

Street Address 1407 N VETERANS PKWY
SUITE 12
City BLOOMINGTON
State IL
Zip Code 61704-6630

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154675304 Lakewood Family Dental Dentist 1407 N Veterans Pkwy, Suite 12, Bloomington, IL 61704-6630 2012-11-08
1265801294 Mehulkumar Trivedi Dentist 1407 N Veterans Pkwy, Bloomington, IL 61704-6630 2015-09-21
1467835223 Sandeep Thota Dentist 1407 N Veterans Pkwy, Bloomington, IL 61704-6630 2015-06-29

Providers in the same zip code

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1629596812 Mental Wellness Center Inc Counselor 202 N Prospect Rd Ste 207, Bloomington, IL 61704 2017-09-07
1649798513 Sarah Goodner Psychologist 1704 Royal Pointe Drive, Bloomington, IL 61704 2017-08-31
1346760253 Elizabeth Devlin Nurse Practitioner 25 Long Cove Ct, Bloomington, IL 61704 2017-06-21
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1740662949 Oncology Hematology Associates of Central Illinois Pharmacy 3105 Magory Drive, Bloomington, IL 61704 2015-06-24
1821478967 Kelly R Andrews Massage Therapist 4101 Wicker Rd, Bloomington, IL 61704 2015-06-03
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1396093977 Bhawna Gupta Physical Therapist 2200 East Washington Street, Bloomington, IL 61704 2012-08-29
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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
1871747865 Heather Joan Heathcote Luebben Dental Hygienist 8600 Nicollet Ave S, Bloomington, MN 55420-2824 2008-11-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1457950891 Laura Jean Baus Dental Hygienist 519 E Bode Rd, Streamwood, IL 60107-6897 2020-10-17
1972114551 Chelsea R Black Dental Hygienist 428 N 8th St, Auburn, IL 62615-1006 2020-08-16
1912518150 Nicole Lynn Connell Dental Hygienist 204 Hwy 164 East, Oquawka, IL 61469 2020-08-12
1073122016 Ann Frederickson Dental Hygienist 9851 S Homan Ave, Evergreen Park, IL 60805-3041 2020-07-27
1588289805 Joy Lantz Dental Hygienist 16335 Harlem Ave Ste 422, Tinley Park, IL 60477-2877 2020-06-11
1740805381 Goran Lazic Dental Hygienist 109 Annapolis Dr, Vernon Hills, IL 60061-2057 2020-06-09
1568085991 Amy Lappin Dental Hygienist 335 Hidden Creek Rd, Lake Zurich, IL 60047-7116 2020-05-20
1114540630 Krista M Walsh Dental Hygienist 890 Brookforest Ave Unit D, Shorewood, IL 60404-8838 2020-05-19
1881214658 Sherri Foran Dental Hygienist 127 60th St, Downers Grove, IL 60516-2038 2020-04-22
1124666573 Katherine Lynn Leiva Dental Hygienist 1791 Dempsey Cir, Pingree Grove, IL 60140-8019 2019-12-17
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Competitor

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City BLOOMINGTON
Zip Code 61704

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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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