MS. NISSA MIKKELSEN (NPI# 1205038007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205038007 |
| Entity Type | Individual |
| Full Name | MS. NISSA MIKKELSEN |
| Practice Address |
Northern Arizona Va Hcs 500 N. Hwy 89 Prescott AZ 86313 |
| Mailing Address |
500 N. Hwy 89 Prescott AZ 86313 |
| Practice Telephone | 9284454860 |
| Mailing Telephone | 9284454860 |
| Enumeration Date | 2007-06-04 |
| 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 | 5570 | AZ | Dental Providers |
| Street Address |
NORTHERN ARIZONA VA HCS 500 N. HWY 89 |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104848290 | Erwina Ungos | Emergency Medicine | Northern Arizona Va Hcs, 500 N. Hwy 89, Prescott, AZ 86313 | 2006-07-24 |
| 1184716532 | Kathleen Callender | Internal Medicine | Northern Arizona Va Hcs, 500 N. Hwy 89, Prescott, AZ 86313 | 2006-09-29 |
| 1821195207 | Bruno Scherz | Psychiatry & Neurology | Northern Arizona Va Hcs, 500 N. Hwy 89, Prescott, AZ 86313 | 2006-09-20 |
| 1821195298 | Mary Jane Milbyer | Dental Hygienist | Northern Arizona Va Hcs, Prescott, AZ 86313 | 2006-09-20 |
| 1316045560 | Carlena K Hart | Nurse Practitioner | Northern Arizona Va Hcs, 500 N Hwy 89, Prescott, AZ 86313 | 2006-09-20 |
| 1184732604 | August Henry Bergman | Internal Medicine | Northern Arizona Va Hcs, 500 N. Hwy 89, Prescott, AZ 86313 | 2006-08-25 |
| 1518970706 | Kevin Lee Draper | Social Worker | Northern Arizona Va Hcs, 500 N. Hwy 89, Prescott, AZ 86313 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740896646 | Kelly Anne Brewer | Respiratory Therapist, Registered | 500 N. State Route 89, Cpap Clinic, Prescott, AZ 86313 | 2020-09-17 |
| 1740548908 | Jaiah Townsend | Respiratory Therapist, Registered | 500 Hwy 89n, Northern Arizona Va Hospital, Prescott, AZ 86313 | 2012-04-25 |
| 1902174618 | Rebecca Jean West | Social Worker | 500 Az-89, Bldg 155, Prescott, AZ 86313 | 2011-12-08 |
| 1740428648 | Ruthie Hunter | Social Worker | 500 North Us Highway 89, Prescott, AZ 86313 | 2009-01-30 |
| 1659586782 | Debra Lea Mcaninch | Nurse Practitioner | 500 Hwy 89 N, Prescott, AZ 86313 | 2007-05-11 |
| 1972697159 | Ted A. Mize I | Physical Therapist | 500 Us Highway 89 North, Prescott, AZ 86313 | 2006-10-03 |
| 1487755393 | Tana Bourdage-allman | Nurse Practitioner | Navahcs 550 North Highway 89, Prescott, AZ 86313 | 2006-09-25 |
| 1497859805 | Denise Perry | Dietitian, Registered | 500 Highway 89n, Va Medical Center, Prescott, AZ 86313 | 2006-09-08 |
| 1609986579 | Jeffrey C. Peters | Pharmacist | 500 N Us Hwy 89, Prescott, AZ 86313 | 2006-08-30 |
| 1578671780 | Debra M Hiller | Nurse Practitioner | Navahcs Highway 89, Prescott, AZ 86313 | 2006-08-28 |
| Find all providers in zip 86313 | ||||
| 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 |
|---|---|---|---|---|
| 1942754577 | Katie Susan Flood | Dental Hygienist | 644 Antelope Loop, Prescott, AZ 86301-5733 | 2016-08-11 |
| 1821349374 | Mary Lewis | Dental Hygienist | 3160 Montana Dr, Prescott, AZ 86301-4627 | 2012-09-24 |
| 1356678650 | Hannah B Peterson | Dental Hygienist | 3140 Clearwater Dr, Prescott, AZ 86305-7131 | 2009-11-06 |
| 1396242178 | Nicole Mahan | Dental Hygienist | 3140 Clearwater Dr, Prescott, AZ 86305-7131 | 2018-04-09 |
| 1356879373 | Margaret Elizabeth Layton | Dental Hygienist | 3140 Clearwater Dr, Prescott, AZ 86305-7131 | 2017-06-03 |
| 1376085563 | Leticia Montes | Dental Hygienist | 3140 Clearwater Dr, Prescott, AZ 86305-7131 | 2016-11-06 |
| 1043681927 | Rebecca Howard | Dental Hygienist | 500 N Us Highway 89, Prescott, AZ 86313-5001 | 2015-10-16 |
| 1003212135 | Denise Cartier | Dental Hygienist | 3140 Clearwater Dr, Prescott, AZ 86305-7131 | 2014-11-17 |
| 1215210984 | Laurie Mitchell Allen | Dental Hygienist | 3140 Clearwater Dr, Prescott, AZ 86305-7131 | 2011-09-20 |
| 1821195298 | Mary Jane Milbyer | Dental Hygienist | Northern Arizona Va Hcs, Prescott, AZ 86313 | 2006-09-20 |
| Find all providers in PRESCOTT | ||||
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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.