STEFANIE M GRAHAM (NPI# 1154557643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154557643 |
| Entity Type | Individual |
| Full Name | STEFANIE M GRAHAM |
| Credential | HYGIENIST |
| Practice Address |
2405 Northwestern Ave Racine WI 53404-2534 |
| Practice Telephone | 2628860474 |
| Practice Fax Number | 2528861672 |
| Mailing Telephone | 2628860474 |
| Mailing Fax Number | 2528861672 |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2009-06-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 10535-016 | WI | Dental Providers |
| Street Address |
2405 NORTHWESTERN AVE |
| City | RACINE |
| State | WI |
| Zip Code | 53404-2534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235246521 | Jeffrey H Schulz | Counselor | 2405 Northwestern Ave, Racine, WI 53404-2534 | 2006-08-24 |
| 1326423534 | Tereo Narcotic Treatment Center, LLC | Clinic/Center | 2405 Northwestern Ave, Suite Lower Level, Racine, WI 53404-2534 | 2015-07-29 |
| 1104257013 | Nancy E Flores | Social Worker | 2405 Northwestern Ave, Racine, WI 53404-2534 | 2013-12-02 |
| 1548606767 | Byron Health and Healing Center | Family Medicine | 2405 Northwestern Ave, Lower Level, Ste 15, Racine, WI 53404-2534 | 2013-05-14 |
| 1194064865 | Children's Hospital of Wisconsin | Pediatrics | 2405 Northwestern Ave, Suite 205, Racine, WI 53404-2534 | 2013-01-31 |
| 1043562838 | Maryellen L. Schemel | Counselor | 2405 Northwestern Ave, Suite Ll5, Racine, WI 53404-2534 | 2012-10-04 |
| 1316299209 | Cory M Rozewicz | Dental Hygienist | 2405 Northwestern Ave, Racine, WI 53404-2534 | 2012-10-03 |
| 1982951679 | Harvest Consulting Company, LLC | Community/Behavioral Health | 2405 Northwestern Ave, Lower Level Suite 5, Racine, WI 53404-2534 | 2012-08-13 |
| 1720310261 | Rebecca Michelle Patton | Social Worker | 2405 Northwestern Ave, Suite 205, Racine, WI 53404-2534 | 2010-02-09 |
| 1841445699 | Dolores Diane Prince | Dental Hygienist | 2405 Northwestern Ave, Racine, WI 53404-2534 | 2008-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033686001 | Rosamaria E Garcia | Registered Nurse | 1120 Hartman Ct, Racine, WI 53404 | 2018-10-29 |
| 1912372418 | Avada Audiology and Hearing Care | Preferred Provider Organization | 813 Fox Lane Suite B, Waterford, WI 53404 | 2015-12-09 |
| 1215095096 | Bonnie Lee Wirfs | Internal Medicine | 2000 Domanik Drive, Racine, WI 53404 | 2006-12-05 |
| 1992813893 | Craig E Fleury | Dentist | 7117 Green Bay Road, Racine, WI 53404 | 2006-08-29 |
| 1174631089 | Greg L Smart | Dentist | 7117 Green Bay Road, Racine, WI 53404 | 2006-08-29 |
| 1871953950 | Amybeth Mahoney | Counselor | 4726 N Green Bay Rd, Racine, WI 53404-1108 | 2016-03-02 |
| 1649560871 | Abby Healthcare Staffing, LLC | Home Health | 3406 Killips Ln, Racine, WI 53404-1310 | 2011-04-08 |
| 1114071917 | Ib Thostrup | Chiropractor | 2827 Rapids Dr, Racine, WI 53404-1620 | 2007-01-22 |
| 1417001140 | Thostrup Chiropractic, S.c. | Chiropractor | 2827 Rapids Dr, Racine, WI 53404-1620 | 2007-01-22 |
| 1578620423 | Sally Jean Brown | Chiropractor | 2609 Rapids Dr, Racine, WI 53404-1741 | 2007-01-02 |
| Find all providers in zip 53404 | ||||
| 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 |
|---|---|---|---|---|
| 1346638343 | Amy Beth Diddle | Dental Hygienist | 47445 Morning Star Rd, Racine, OH 45771-8808 | 2014-12-30 |
| 1124592282 | Jennifer E Hammack | Dental Hygienist | 4915 Washington Ave Ste B, Racine, WI 53406-4249 | 2019-01-11 |
| 1972976793 | Jennifer M Clark | Dental Hygienist | 4915 Washington Ave Ste B, Racine, WI 53406-4221 | 2015-11-02 |
| 1316299209 | Cory M Rozewicz | Dental Hygienist | 2405 Northwestern Ave, Racine, WI 53404-2534 | 2012-10-03 |
| 1841445699 | Dolores Diane Prince | Dental Hygienist | 2405 Northwestern Ave, Racine, WI 53404-2534 | 2008-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639786551 | Maggie Hall | Dental Hygienist | 2633 Development Dr. Ste 40, Green Bay, WI 54311 | 2020-09-24 |
| 1659983914 | Rachel Benck | Dental Hygienist | 1089 174th St, Hammond, WI 54015-4831 | 2020-08-18 |
| 1619594710 | Vanessa Jane Loertscher | Dental Hygienist | 103 W. Mcmillan St., Marshfield, WI 54449-3502 | 2020-07-06 |
| 1881242535 | Michelle Amanda Shalander | Dental Hygienist | 308 S 1st Street, Luck, WI 54853 | 2019-08-27 |
| 1689130437 | Theresa Marcie Mock | Dental Hygienist | 8669 Airport Rd, Middleton, WI 53562-4147 | 2019-02-18 |
| 1598229866 | Tonya Marie Evjen | Dental Hygienist | N3615 County Road G, Ladysmith, WI 54848-9389 | 2019-01-30 |
| 1922571884 | Erin Kaye Fandre | Dental Hygienist | 111 W Jackson Street, Third Floor, Wisconsin Rapids, WI 54495-3338 | 2019-01-03 |
| 1790256246 | Heather Renee Walker | Dental Hygienist | 1344 Creston Park Dr Ste 2, Janesville, WI 53545-1113 | 2018-12-10 |
| 1730657974 | Anne Chianello | Dental Hygienist | 11643 47th Ave, Pleasant Prairie, WI 53158-3618 | 2018-11-06 |
| 1891263216 | Stephanie Rice | Dental Hygienist | N4008 Morgan Dr, Waupaca, WI 54981 | 2018-11-03 |
| 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.