NICOLE LYEMONE YEATS


Address: 5025 Se 28th Ave, Portland, OR 97202-4445
Phone: 5032384418

NICOLE LYEMONE YEATS (NPI# 1235672049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235672049
Entity Type Individual
Full Name NICOLE LYEMONE YEATS
Credential EFDA
Practice Address 5025 Se 28th Ave
Portland
OR 97202-4445
Practice Telephone 5032384418
Mailing Telephone 5032384418
Enumeration Date 2016-11-28
Last Update Date 2016-11-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 126800000X Dental Assistant 113515 OR Dental Providers

Office Location

Street Address 5025 SE 28TH AVE
City PORTLAND
State OR
Zip Code 97202-4445

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467477315 Charles Calvert Rosson IIi Dentist 5025 Se 28th Ave, Portland, OR 97202-4445 2006-07-13
1225674757 Sarah Bachman Dental Assistant 5025 Se 28th Ave, Portland, OR 97202-4445 2019-11-19
1275187189 Jessica Leigh Jacobs Dental Assistant 5025 Se 28th Ave, Portland, OR 97202-4445 2019-07-29
1669998977 Meghan Kathleen Toevs Duey Dental Hygienist 5025 Se 28th Ave, Portland, OR 97202-4445 2017-08-17
1265984546 Kaiser Foundation Health Plan of The Northwest Dentist 5025 Se 28th Ave, Portland, OR 97202-4445 2016-11-02
1821451394 Keith Herkert Dentist 5025 Se 28th Ave, Portland, OR 97202-4445 2016-04-01
1841620507 Sierra Brandon Dental Hygienist 5025 Se 28th Ave, Portland, OR 97202-4445 2013-11-17
1699105494 Jessicah Marie Brick Dental Hygienist 5025 Se 28th Ave, Portland, OR 97202 2013-11-15
1245580497 Jennifer Christine Mcguire Dental Assistant 5025 Se 28th Ave, Portland, OR 97202-4445 2012-09-14
1568793024 Mark Allan Villanueva Dentist 5025 Se 28th Ave, Portland, OR 97202-4445 2010-01-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073143442 Carewell LLC Counselor Portland River Park Center, 205 Se Spokane St Suite 358, Portland, OR 97202 2020-01-24
1588226765 Melissa Lynn Hartley Counselor 1235 Se Division St. Suite 103, Portland, OR 97202 2019-07-08
1275192999 Kimberly Rae Kilgore Counselor 5509 Se 22nd St #3a, Portland, OR 97202 2019-06-06
1639736069 Kyra Steinhauer Social Worker 3145 Se Powell Blvd, Portland, OR 97202 2019-05-21
1134644321 Bridgette Hennigsen Social Worker 3810 Se 11th Ave, Portland, OR 97202 2017-08-08
1558895789 Lenore Cangeloso Acupuncturist 1235 Se Division Street, Suie 117, Portland, OR 97202 2017-04-14
1376099093 Anna Christine Leclerc Contractor 2024 Se Clinton Street, Zenana Spa and Wellness Center, Portland, OR 97202 2016-09-01
1144684663 Catholic Charities Case Management 2740 Se Powell Blvd., Portland, OR 97202 2016-04-11
1881082097 Zoomcare Dental, P.C. Dentist 3130 Se Division Street, Building 2, Portland, OR 97202 2014-12-23
1124424700 Jessica Nash Counselor 6411 Se 17th Ave, Portland, OR 97202 2014-11-10
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Taxonomy Information

Taxonomy Code 126800000X
Grouping Dental Providers
Classification Dental Assistant

Taxonomy Definition

An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821616970 Miryam Gallardo Dental Assistant 216 Se 162nd Ave Apt 38, Portland, OR 97233-3839 2020-07-06
1366911521 Falasteen Adel Dental Assistant 1346 Ne 134th Ave, Portland, OR 97230-3211 2018-11-16
1730449893 Tammy Loraine Rongone Dental Assistant 822 N.e. 181st. Ave, Portland, OR 97230-6708 2012-05-23
1205101201 Patrick Stevens Edwards Dental Assistant 8728 N Haven Ave, Portland, OR 97203-3426 2012-03-09
1548464258 Julie Rose Jennings Dental Assistant 11732 Se Malden Ct, Portland, OR 97266-8101 2007-06-14
1750594164 Christine Marie Hassing Dental Assistant 10102 Ne Glisan, Portland, OR 97220 2007-05-08
1598835423 Alona Elizabeth Polecastro Dental Assistant 4512 Se Woodstock, Portland, OR 97206 2006-11-08
1285724021 Rachael Annette Chambers Dental Assistant 7201 N Interstate, North Interstate Dental, Portland, OR 97217-5523 2006-10-13
1760584809 Wanessa Chambers Dental Assistant 5319 Ne Killingsworth St, Portland, OR 97218-2400 2006-09-01
1407963127 Christina A Robledo Dental Assistant North Interstate Dental, 7201 N Interstate, Portland, OR 97217-5523 2006-08-25
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97202

Improve Information

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Dataset Information

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.

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