MRS. LEENA A. JACOB (NPI# 1184901423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184901423 |
| Entity Type | Individual |
| Full Name | MRS. LEENA A. JACOB |
| Credential | RDH |
| Practice Address |
10605 Se 240th St # 345 Kent WA 98031-4903 |
| Practice Telephone | 2069637936 |
| Practice Fax Number | 2532772538 |
| Mailing Telephone | 2069637936 |
| Mailing Fax Number | 2532772538 |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2013-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH 00005160 | WA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851655765 | Leena Rachel Jacob | Family Medicine | 318 White Horse Pike, Haddon Heights, NJ 08035-1705 | 2012-06-26 |
| 1255479556 | Leena Mary Jacob | Dentist | 14101 Paramount Blvd, Paramount, CA 90723-2607 | 2007-02-01 |
| Street Address |
10605 SE 240TH ST # 345 |
| City | KENT |
| State | WA |
| Zip Code | 98031-4903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104097286 | Jennifer I Domingo | Marriage & Family Therapist | 10605 Se 240th St, #741, Kent, WA 98031-4903 | 2008-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861043325 | Deanna Lila Fuller | Technician | 21417 122nd Place Se, Kent, WA 98031 | 2019-09-26 |
| 1386092054 | Amninder Ripsy Nagra-kaur | Licensed Practical Nurse | 10016 Se 218th Pl, Kent, WA 98031 | 2016-06-02 |
| 1033575113 | Amanda Jane Holen | Nurse Practitioner | 202 State Avenue North, Kent, WA 98031 | 2016-01-05 |
| 1578951281 | Katherine Mitchell | Counselor | 12400 Se 233rd St, Kent, WA 98031 | 2015-01-03 |
| 1376804997 | San Lwai | Internal Medicine | 20040 - 120th Ave S.e., Kent, WA 98031 | 2012-05-30 |
| 1013106822 | Fiorella Andrea Diaz | Interpreter | 20029 104th Place Se, Kent, WA 98031 | 2007-10-17 |
| 1750599361 | Northwest Transport | Non-emergency Medical Transport (VAN) | 22627 85th Pl S, Kent, WA 98031 | 2007-05-18 |
| 1750596953 | Rhonda H. James | Licensed Practical Nurse | 21252 94th Pl. S, Kent, WA 98031 | 2007-05-11 |
| 1124172846 | Jeffrey W Baxter | Counselor | 10024 Se 240th, Suite 116 James Street Building, Kent, WA 98031 | 2007-01-22 |
| 1043398407 | Option 1 Northwest Enteral LLC | Durable Medical Equipment & Medical Supplies | 8633 South 212th Street, Kent, WA 98031 | 2006-11-02 |
| Find all providers in zip 98031 | ||||
| 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 |
|---|---|---|---|---|
| 1639545015 | Stephanie Mauri | Dental Hygienist | 8 Green Pastures Ln, Kent, CT 06757 | 2015-08-19 |
| 1205252269 | Kathleen Marie Hughes | Dental Hygienist | 11955 Se 253rd St, Kent, WA 98030-6559 | 2014-03-13 |
| 1598839342 | Meredith Ann Kilpatrick | Dental Hygienist | 1404 Central Ave S Ste 101, Kent, WA 98032-7433 | 2006-11-20 |
| 1831262328 | Margaret Ann Terp | Dental Hygienist | 1404 Central Ave S, Suite 101, Kent, WA 98032-7433 | 2006-11-15 |
| 1134369572 | Yujeong Alyx Kwon | Dental Hygienist | 1404 Central Ave S, 101, Kent, WA 98032-7433 | 2009-02-25 |
| 1780872119 | Tanya Jane Clarke | Dental Hygienist | 1404 Central Ave S Ste 101, Kent, WA 98032-7433 | 2007-10-10 |
| 1265505127 | L.cynthia Coe Fuller | Dental Hygienist | 1404 Central Ave S, Suite101, Kent, WA 98032-7433 | 2006-11-16 |
| 1669545695 | Joan Evelyn Tregoning | Dental Hygienist | 1404 Central Ave S, Kent, WA 98032-7433 | 2006-11-16 |
| 1821161233 | Marilyn Jean Reusch | Dental Hygienist | 1404 Central Ave S, Suite 101, Kent, WA 98032-7433 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807755 | Karen Sloat Parker | Dental Hygienist | 1014 12th Ave N, Edmonds, WA 98020-2511 | 2020-10-05 |
| 1255948030 | Adisa Salaka | Dental Hygienist | 14335 Simonds Rd Ne Apt A303, Kirkland, WA 98034-9277 | 2020-09-25 |
| 1790391951 | Ann Marie O'connor | Dental Hygienist | 620 Glen St Apt 302, Edmonds, WA 98020-3236 | 2020-09-22 |
| 1396359691 | Lindsey Marie Tennant-moore | Dental Hygienist | 6515 5th Ave Ne Apt 202, Seattle, WA 98115-6451 | 2020-09-03 |
| 1356952568 | Stephanie Kleinbrook | Dental Hygienist | 1455 James St, Bellingham, WA 98225-4943 | 2020-08-11 |
| 1639789787 | Catrice Opichka | Dental Hygienist | 1118 Hilty Ln, Bow, WA 98232-9544 | 2020-08-04 |
| 1487272860 | Diedre Snow Hill | Dental Hygienist | 1950 Pottery Ave Ste 170, Port Orchard, WA 98366-2591 | 2020-07-11 |
| 1922621929 | Rebecca Rose | Dental Hygienist | 4532 Dyes Inlet Rd Nw, Bremerton, WA 98312-1410 | 2020-05-26 |
| 1053946673 | Jessica Maree Carnes | Dental Hygienist | 6505 Nw Cherry Street, Vancouver, WA 98663 | 2020-03-04 |
| 1952933251 | Julie Kristen Dutler | Dental Hygienist | 11572 C St, Jblm, WA 98433 | 2020-02-05 |
| 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.