CONCHETTA VINSON BREVARD (NPI# 1144884529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144884529 |
Entity Type | Individual |
Full Name | CONCHETTA VINSON BREVARD |
Credential | RDH |
Practice Address |
9300 Dewitt Loop Ft Belvoir VA 22060-5285 |
Mailing Address |
120 Short Branch Rd Stafford VA 22556-4642 |
Practice Telephone | 5712313531 |
Mailing Telephone | 5715999396 |
Enumeration Date | 2019-04-30 |
Last Update Date | 2019-04-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | 0402206416 | VA | Dental Providers |
Street Address |
9300 DEWITT LOOP |
City | FT BELVOIR |
State | VA |
Zip Code | 22060-5285 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457983033 | Laura Long | Pharmacist | 9300 Dewitt Loop, Ft Belvoir, VA 22060-5285 | 2020-02-11 |
1013557388 | Mimi Thanh-uyen Phan | Pharmacist | 9300 Dewitt Loop, Ft Belvoir, VA 22060-5285 | 2020-01-14 |
1194373993 | Keri Kirk | Psychologist | 9300 Dewitt Loop, Ft Belvoir, VA 22060-5285 | 2019-08-27 |
1326600537 | Hailey Lane Faist | Family Medicine | 9300 Dewitt Loop, Ft Belvoir, VA 22060-5285 | 2019-07-08 |
1174004600 | Emily E Oh | Pharmacist | 9300 Dewitt Loop, Ft Belvoir, VA 22060-5285 | 2018-08-23 |
1619460987 | John Evan Powers | Family Medicine | 9300 Dewitt Loop, Ft Belvoir, VA 22060-5285 | 2018-06-12 |
1982122008 | Usoro Emmanuel Udo | Military Health Care Provider | 9300 Dewitt Loop, Ft Belvoir, VA 22060-5285 | 2017-09-08 |
1851819783 | Roni Jozetti Rhinehardt | Social Worker | 9300 Dewitt Loop, Ft Belvoir, VA 22060-5285 | 2017-08-30 |
1184153918 | Cammie Steadman Burgess | Nurse Practitioner | 9300 Dewitt Loop, Ft Belvoir, VA 22060-5285 | 2017-06-06 |
1215465562 | Abigail Lea Axel | Family Medicine | 9300 Dewitt Loop, Ft Belvoir, VA 22060-5285 | 2017-05-31 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447780317 | Elizabeth Joy Bier | Family Medicine | Fort Belvoir Community Hospital 9300 Dewitt Loop, Fort Belvoir, VA 22060 | 2017-06-14 |
1518413723 | Meredith Rae Cuddy | Social Worker | 9300 Dewitt Loop, Rivers Pavillion, 2nd Floor, Room R2.403, Fort Belvoir, VA 22060 | 2016-08-28 |
1760804041 | Edward Burke | Nurse Anesthetist, Certified Registered | 9300 Dewitt Loop, Sunrise Pavilion, 3rd Flr, Rm 218, Fort Belvoir Community Hospital, Fort Belvoir, VA 22060 | 2014-01-06 |
1972940450 | Deepa Ramanathan Elion | Clinical Neuropsychologist | 5908 9th Street, Building 1259, Intrepid Sprit One, Nicoe, Fort Belvoir, VA 22060 | 2013-05-24 |
1861837643 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 8651 John J Kingman, Building 2321, Fort Belvoir, VA 22060 | 2013-05-07 |
1609150820 | Brittany Rodriguez | Physical Therapist | 9300 Belvoir Rd, Fort Belvoir, VA 22060 | 2011-10-06 |
1457657983 | Jacob Macgregor | Nurse Anesthetist, Certified Registered | 9300 Dewit Loop, Fort Belvoir Community Hospital, Fort Belvoir, VA 22060 | 2011-02-01 |
1518291442 | Stacie Erin Thomas | Speech-Language Pathologist | 5980 9th Street, Intrepid Pavillion, Fort Belvoir, VA 22060 | 2009-09-24 |
1033347125 | David Michael Hanrahan | Psychiatry & Neurology | 5980 9th Street Building #1259, Fort Belvoir Intrepid Pavillion, Fort Belvoir, VA 22060 | 2009-06-26 |
1649459777 | Central Care Inc | Military Hospital | 9501 Farrell Rd Bldg 805, Dewitt Health Care Center, Ft Belvoir, VA 22060 | 2007-10-25 |
Find all providers in zip 22060 |
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 |
---|---|---|---|---|
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 |
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City | FT BELVOIR |
Zip Code | 22060 |
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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.