MS. LAURA LEE BIRKS (NPI# 1134292543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134292543 |
| Entity Type | Individual |
| Full Name | MS. LAURA LEE BIRKS |
| Credential | RDH |
| Practice Address |
1712 Clubhouse Rd 106 Dr Zacko & Assoc Reston VA 20190 |
| Mailing Address |
4132 Pleasant Meadow Ct Chantilly VA 20151 |
| Practice Telephone | 7034716600 |
| Practice Fax Number | 7034711675 |
| Mailing Telephone | 7032620773 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | Dental Providers |
| Street Address |
1712 CLUBHOUSE RD 106 DR ZACKO & ASSOC |
| City | RESTON |
| State | VA |
| Zip Code | 20190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912548470 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1906 Reston Metro Plaza, Suite 100, Reston, VA 20190 | 2019-10-04 |
| 1205483260 | Northern Virginia Applied Behavior Analysis, L.L.C. | Behavioral Analyst | 1984 Issac Newton Square West, Suite 204, Reston, VA 20190 | 2019-08-23 |
| 1336796481 | Sandra Chiunda | Nurse Practitioner | 11484 Washington Plaza W 3rd Floor, Reston, VA 20190 | 2019-08-23 |
| 1891357232 | Beyond Counseling, Inc. | Clinic/Center | 11250 Roger Bacon Dr., Atrium 5, Reston, VA 20190 | 2019-07-06 |
| 1003470063 | Sarah Katharina Jungnitsch | Registered Nurse | Reston Anesthesia Associates, 11341 Sunset Hills Road, Reston, VA 20190 | 2019-04-25 |
| 1194202341 | May Health Care Services Inc | Home Health | 12110 Sunset Hills Road Suite 600, Reston, VA 20190 | 2018-07-20 |
| 1245739895 | Carlee B. Genung | Physician Assistant | 1760 Reston Parkway Suite 306, Reston, VA 20190 | 2018-02-09 |
| 1760901045 | Kristen Kelly | Dietitian, Registered | 11703 Bowman Green Drive, Lower Level, Reston, VA 20190 | 2017-09-18 |
| 1245778992 | Sarah Christine Bernstein | Occupational Therapist | 1860 Town Center Drive Ste, Suite 300, Reston, VA 20190 | 2017-02-02 |
| 1023495298 | Phillip Nguyen | Dentist | 1800 Town Center Dr Ste 116, Reston, VA 20190 | 2015-04-27 |
| Find all providers in zip 20190 | ||||
| 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 |
|---|---|---|---|---|
| 1629104823 | Barbara Swavely | Dental Hygienist | 11864 Sunrise Valley Dr, Reston, VA 20191-3310 | 2007-02-24 |
| 1952930778 | Angel A Simmons | Dental Hygienist | 11503 Sunrise Valley Dr, Reston, VA 20191-1505 | 2020-04-03 |
| 1699848002 | Brett Zacko Gurley | Dental Hygienist | 1712 Clubhouse Rd, Zacko and Assoc, Reston, VA 20190 | 2006-11-15 |
| 1730252156 | Mary Jane Catherine Korrigan | Dental Hygienist | 1712 Clubhouse Rd, Suite 106, Reston, VA 20190 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767520 | Cassandra Elizabeth Knowles | Dental Hygienist | 3626 Poplar Ridge Dr, Gloucester, VA 23061-3267 | 2020-10-13 |
| 1669081089 | Kelly Davis | Dental Hygienist | 741 Crystal Ln, Strasburg, VA 22657-2373 | 2020-07-31 |
| 1184240848 | Masih Safi | Dental Hygienist | 3005 Marisa Ct, Woodbridge, VA 22192-3919 | 2020-06-18 |
| 1144845470 | Gwendilynn Thu Duong | Dental Hygienist | 6707 Old Dominion Dr Ste 240, Mc Lean, VA 22101-4503 | 2020-06-12 |
| 1144857434 | Roshani Patel | Dental Hygienist | 3951 Kathryn Jean Ct, Fairfax, VA 22033-2743 | 2020-03-25 |
| 1679105936 | Erica Cavaluzzi | Dental Hygienist | 13532 Mallard Watch Way, Clifton, VA 20124-0920 | 2020-02-05 |
| 1982250759 | Natalie Marie Campbell | Dental Hygienist | 5979 Emory Blvd, Fort Belvoir, VA 22060-3236 | 2019-08-16 |
| 1487214201 | Annmarie Mcbride | Dental Hygienist | 4701 Franconia Rd, Alexandria, VA 22310-1908 | 2019-06-14 |
| 1912565599 | Lilia Vaughan | Dental Hygienist | 2300 Vantage Dr Apt 3051, Woodbridge, VA 22191-4170 | 2019-05-30 |
| 1346805876 | Jodie Pointer Myers | Dental Hygienist | 10845 Timber Rd, South Prince George, VA 23805-7508 | 2019-05-09 |
| Find all providers with the same taxonomy | ||||
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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.