MICHELE DAWN JOHNSON (NPI# 1205360088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205360088 |
| Entity Type | Individual |
| Full Name | MICHELE DAWN JOHNSON |
| Credential | RDHAP |
| Practice Address |
520 Greenwood Ave. Blue Lake CA 95525-0903 |
| Mailing Address |
Po Box 903 520 Greenwood Ave. Blue Lake CA 95525-0903 |
| Practice Telephone | 7076685683 |
| Practice Fax Number | 7078450088 |
| Mailing Telephone | 7076685683 |
| Mailing Fax Number | 7078450088 |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2017-04-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 654 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063048007 | Michele Johnson | Massage Therapist | 148 Elmwood Ave, Roosevelt, NY 11575-1808 | 2020-03-22 |
| 1669985560 | Michele Johnson | Behavior Technician | 5902 Golden Eagle Cir, Palm Beach Gardens, FL 33418-1528 | 2017-11-14 |
| 1275079089 | Michele Jean Johnson | Speech-Language Pathologist | 3211 Clairbridge Dr, Bloomington, IL 61704-9474 | 2017-01-18 |
| 1013349133 | Michele Teresa Johnson | Nurse's Aide | 27000 Zeman Ave., Euclid, OH 44132-0425 | 2013-07-31 |
| 1487973921 | Michele Karen Johnson | Occupational Therapist | 30 Bruce St, Duluth, MN 55803-2501 | 2010-05-24 |
| 1578896098 | Michele M Johnson | Specialist | 1477 S Knowles Ave, S 103, New Richmond, WI 54017-2529 | 2009-09-16 |
| 1649406604 | Michele Elizabeth Johnson | Counselor | 5422 First Coast Hwy, Ste 119, Amelia Island, FL 32034-5423 | 2009-06-04 |
| 1275625485 | Michele Johnson | Nurse Practitioner | 916 Rice St, Saint Paul, MN 55117-5425 | 2006-09-28 |
| 1346208287 | Michele L Johnson | Physician Assistant | 1430 Terrace Dr, Tulsa, OK 74104 | 2006-05-02 |
| 1437131737 | Michele Pitts Johnson | Obstetrics & Gynecology | 1149 Ambler Ave, Abilene, TX 79601-2309 | 2005-11-14 |
| Street Address |
520 GREENWOOD AVE. |
| City | BLUE LAKE |
| State | CA |
| Zip Code | 95525-0903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629554530 | Eva Maria Adams | Dental Hygienist | 695 #3 Rancheria Road, Blue Lake, CA 95525 | 2018-07-13 |
| 1699077339 | Olympia Helena-rose Mccutchan | Midwife | 241 F Street, Blue Lake, CA 95525 | 2010-12-01 |
| 1568611861 | Terri Elana Jennings | Psychologist | Po Box 1006, Blue Lake, CA 95525-1006 | 2008-09-11 |
| 1124400155 | Healing Strides Psychotherapy, Inc. | Psychologist | Po Box 1006, Blue Lake, CA 95525-1006 | 2015-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629554530 | Eva Maria Adams | Dental Hygienist | 695 #3 Rancheria Road, Blue Lake, CA 95525 | 2018-07-13 |
| 1699077339 | Olympia Helena-rose Mccutchan | Midwife | 241 F Street, Blue Lake, CA 95525 | 2010-12-01 |
| 1568611861 | Terri Elana Jennings | Psychologist | Po Box 1006, Blue Lake, CA 95525-1006 | 2008-09-11 |
| 1124400155 | Healing Strides Psychotherapy, Inc. | Psychologist | Po Box 1006, Blue Lake, CA 95525-1006 | 2015-06-26 |
| 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 |
|---|---|---|---|---|
| 1629554530 | Eva Maria Adams | Dental Hygienist | 695 #3 Rancheria Road, Blue Lake, CA 95525 | 2018-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841046 | Betty Satomi Fukumoto | Dental Hygienist | 16008 S Manhattan Pl, Gardena, CA 90247-3681 | 2020-11-08 |
| 1417558180 | Maria Antonette De Lara Kim | Dental Hygienist | 66 S San Gorgonio Ave Ste 5, Banning, CA 92220-6020 | 2020-11-07 |
| 1083215982 | Sokbunntha Yan | Dental Hygienist | 5810 Fidler Ave, Lakewood, CA 90712-1251 | 2020-11-06 |
| 1649871914 | Maryam Ghahramani Shahneshin | Dental Hygienist | 1961 Grove Pl, Escondido, CA 92027-4101 | 2020-11-04 |
| 1285234047 | Maryann Detar | Dental Hygienist | 3154 Alum Rock Ave, San Jose, CA 95127-2903 | 2020-10-29 |
| 1194325597 | Connie Lim Good | Dental Hygienist | 14th Street Bldg 13128, Oceanside, CA 92055 | 2020-10-27 |
| 1336748896 | Cynthia Garcia Macdougall | Dental Hygienist | 444 Hermosa Ave Apt 302, Hermosa Beach, CA 90254-4433 | 2020-10-25 |
| 1346849163 | Ambrosia Evon Steljes | Dental Hygienist | Building 13128 14th Street, Camp Pendleton, CA 92055-5221 | 2020-10-22 |
| 1427657261 | Julie Lynn March | Dental Hygienist | 19871 Mitscher Way Bldg 2495, San Diego, CA 92145-5103 | 2020-10-22 |
| 1386243327 | Leticia Isabel Alcantar | Dental Hygienist | Bldg 520448, Camp Pendleton, CA 92055 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MICHELE DAWN JOHNSON.
| 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.