BREONA LISTER (NPI# 1225695273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225695273 |
| Entity Type | Individual |
| Full Name | BREONA LISTER |
| Practice Address |
38 17 Gruber Rd Fort Bragg NC 28303 |
| Mailing Address |
6415 Independence Place Dr Apt 213 Fayetteville NC 28303-4395 |
| Practice Telephone | 9103965012 |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2019-05-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 11689 | NC | Dental Providers |
| Street Address |
38 17 GRUBER RD |
| City | FORT BRAGG |
| State | NC |
| Zip Code | 28303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801404496 | Matthew Pace | Physician Assistant | Bldg 5-4257 Bastogne St, Fort Bragg, NC 28303 | 2020-07-20 |
| 1952920449 | Vonetta Bethea Jackson | Social Worker | 391 Wagoner Drive, Fayetteville, NC 28303 | 2020-04-14 |
| 1932746229 | Julie Harriss | Specialist/Technologist | Bldg E 4062, Canopy Lane, Fort Bragg, NC 28303 | 2019-12-05 |
| 1235780354 | Helen Delores Johnson | Technician | 261 Pierron Dr, Fayetteville, NC 28303 | 2019-09-20 |
| 1922655075 | Andrea Margaret Hutnam | Technician | 714 Shortridge Rd, Fayetteville, NC 28303 | 2019-08-23 |
| 1780148957 | Brian K Cox Sr. | Occupational Therapy Assistant | 5300 Ramsey St, Fayetteville, NC 28303 | 2019-01-22 |
| 1730670902 | Michael Sadtler | Counselor | 804 Stamper Rd Ste 101, Fayetteville, NC 28303 | 2018-05-23 |
| 1104320399 | Tia Porterfield | Counselor | 2018 Fort Bragg Rd Ste 112a, Fayetteville, NC 28303 | 2018-03-21 |
| 1154835577 | Jessica Bass Bosworth | Psychologist | 3415 Youngstown Dr, Fayetteville, NC 28303 | 2017-11-21 |
| 1639698871 | Audrey R Brown | Social Worker | 1003 Anarine Road, Fayetteville, NC 28303 | 2017-09-19 |
| Find all providers in zip 28303 | ||||
| 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 |
|---|---|---|---|---|
| 1568003093 | Patricia Elizabeth Anderson | Dental Hygienist | 3718 Gruber Rd Bldg H, Fort Bragg, NC 28310-8934 | 2019-10-07 |
| 1215483094 | Shantryce Monique Boatwright Crump | Dental Hygienist | 2617 Rielly Road, Fort Bragg, NC 28310 | 2016-08-31 |
| 1154773349 | Fay Alleyne | Dental Hygienist | H-3718 Gruber Rd, Fort Bragg, NC 28310-0001 | 2016-07-12 |
| 1922450113 | Rebecca Davis | Dental Hygienist | 3718h-3718 Gruber Rd, Fort Bragg, NC 28310-0001 | 2016-07-12 |
| 1629356019 | Barbara A Mullins | Dental Hygienist | Building C-6238 Ardennes Drive, Laflamme Dental Clinic, Fort Bragg, NC 28310 | 2011-08-02 |
| 1477046027 | Roy Campbell | Dental Hygienist | 205 South St, Fort Bragg, CA 95437-5540 | 2018-06-08 |
| 1184170961 | Leisa Mcginty | Dental Hygienist | 2817 Reilly St, Fort Bragg, NC 28310-7324 | 2016-08-31 |
| 1114473998 | Christa Fontaine | Dental Hygienist | 2817 Reilly St, Fort Bragg, NC 28310-7324 | 2016-08-31 |
| 1255887162 | Melissa Hughes | Dental Hygienist | 2817 Reilly St, Fort Bragg, NC 28310-7324 | 2016-08-31 |
| 1215380282 | Pamela Holsten | Dental Hygienist | 2817 Reilly St, Fort Bragg, NC 28310-7324 | 2016-07-14 |
| Find all providers in FORT BRAGG | ||||
| City | FORT BRAGG |
| Zip Code | 28303 |
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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.