MRS. SUSAN ELIZABETH SLADE (NPI# 1205278587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205278587 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN ELIZABETH SLADE |
| Other Name | MISS SUSAN ELIZABETH LEROY |
| Credential | R.D.H. |
| Practice Address |
711 Stony Point Rd Santa Rosa CA 95407-6802 |
| Mailing Address |
3569 Round Barn Cir Santa Rosa CA 95403-5781 |
| Practice Telephone | 7075782005 |
| Mailing Telephone | 7073033600 |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2013-07-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 13202 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801848403 | Susan R Slade | Psychiatry & Neurology | 2134 Nicholasville Rd, Suite # 16&17, Lexington, KY 40503-2521 | 2006-05-16 |
| Street Address |
711 STONY POINT RD |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95407-6802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477004067 | Lauren Michelle Lorenzi | Nurse Practitioner | 711 Stony Point Rd, 17, Santa Rosa, CA 95407-6802 | 2016-10-18 |
| 1003295205 | Lauren Roos | Nurse Practitioner | 711 Stony Point Rd, Santa Rosa, CA 95407-6802 | 2015-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100477 | Charrise Reece | Case Management | 935 S Davis, Santa Rosa, CA 95407 | 2020-10-07 |
| 1629687256 | Suzel Anne-marie Deer | Registered Nurse | 1017 Stony Point Rd, Santa Rosa, CA 95407 | 2020-07-29 |
| 1285152884 | Mercedes Zipperle | Specialist/Technologist | 638 Athena Pl, Santa Rosa, CA 95407 | 2017-09-03 |
| 1235664988 | Priceless Transport Care LLC | Non-emergency Medical Transport (VAN) | 661 Powderhorn Ave, Santa Rosa, CA 95407 | 2017-05-01 |
| 1780139634 | Robin Shank Sanderson | Nurse Practitioner | 751 Lombardi, Santa Rosa, CA 95407 | 2016-08-22 |
| 1205207321 | Flaman Craig Mccloud Jr. | Counselor | 440 Arrowood Dr., Santa Rosa, CA 95407 | 2015-10-15 |
| 1548679400 | Jill Bauer | Dental Hygienist | 2740 Ironstone Circle, Santa Rosa, CA 95407 | 2014-08-05 |
| 1922413673 | Aurora Alejandra Gomez Selpides | Family Medicine | 2240 Mercury Way, Santa Rosa, CA 95407 | 2014-06-20 |
| 1508159955 | Luis Angel Gonzalez | Counselor | 1202 Apollo Way, Santa Rosa, CA 95407 | 2011-05-18 |
| 1326286295 | Kelly Alexis Rathmann | Social Worker | 3650 Standish Avenue, Santa Rosa, CA 95407 | 2009-01-29 |
| Find all providers in zip 95407 | ||||
| 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 |
|---|---|---|---|---|
| 1386114981 | Victoria Maria Guillory | Dental Hygienist | 140 Stony Point Road, Suite A, Santa Rosa, CA 95401 | 2018-11-27 |
| 1548679400 | Jill Bauer | Dental Hygienist | 2740 Ironstone Circle, Santa Rosa, CA 95407 | 2014-08-05 |
| 1669896981 | Renee Marie Marchant | Dental Hygienist | 245 Doyle Park Dr, Santa Rosa, CA 95405-4511 | 2014-02-06 |
| 1205120078 | Deborah Ann Chigazola | Dental Hygienist | 5815 Owl Hill Ave, Santa Rosa, CA 95409-4341 | 2011-06-08 |
| 1417135286 | Ingri Seath Sparling | Dental Hygienist | 4638 Montgomery Dr, Santa Rosa, CA 95409-5311 | 2008-02-04 |
| 1316153794 | Jennifer Apocotos-kirk | Dental Hygienist | 418 Aviation Blvd, Sutie A, Santa Rosa, CA 95403-1074 | 2007-05-15 |
| 1154339059 | Katherine Carmel Kane | Dental Hygienist | 527 Squirrel Ct, Santa Rosa, CA 95401-5762 | 2006-08-04 |
| 1386295160 | Jordan Michele Petersen | Dental Hygienist | 1300 N Dutton Ave, Santa Rosa, CA 95401-7112 | 2019-09-24 |
| 1538646807 | Samantha Makinano | Dental Hygienist | 1300 N Dutton Ave, Santa Rosa, CA 95401-7112 | 2018-07-19 |
| 1548476732 | Mara Marie Hoban | Dental Hygienist | 418 Aviation Blvd Ste A, Santa Rosa, CA 95403-1074 | 2007-05-15 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95407 |
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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.