SUSAN MICK (NPI# 1245723063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245723063 |
| Entity Type | Individual |
| Full Name | SUSAN MICK |
| Practice Address |
10767 E Traverse Hwy Traverse City MI 49684-6219 |
| Practice Telephone | 2319461112 |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2018-06-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891014361 | Susan Mick | Registered Nurse | 625 W Washington Ave, Madison, WI 53703-2637 | 2010-05-24 |
| Street Address |
10767 E TRAVERSE HWY |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49684-6219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609985977 | Patricia Elaine Mcintosh | Nurse Practitioner | 10767 E Traverse Hwy, Traverse City, MI 49684-6219 | 2006-08-30 |
| 1699387480 | Kylie Janae Mix | Dental Hygienist | 10767 E Traverse Hwy, Traverse City, MI 49684-6219 | 2020-08-21 |
| 1952913725 | Tana Rae Golembiewski | Dental Hygienist | 10767 E Traverse Hwy, Traverse City, MI 49684-6219 | 2020-08-21 |
| 1205328259 | Cassandra Grace Lee | Dentist | 10767 E Traverse Hwy, Traverse City, MI 49684-6219 | 2018-06-05 |
| 1346732393 | Derek R Schmidt | Dentist | 10767 E Traverse Hwy, Traverse City, MI 49684 | 2018-06-05 |
| 1740723576 | Chelsea Menhart | Nurse Practitioner | 10767 E Traverse Hwy, Traverse City, MI 49684-6219 | 2016-11-28 |
| 1508238270 | Laura Scott | Dental Hygienist | 10767 E Traverse Hwy, Traverse City, MI 49684-6219 | 2015-10-21 |
| 1184090771 | Diana C Moran | Nurse Practitioner | 10767 E Traverse Hwy, Traverse City, MI 49684-6219 | 2015-08-18 |
| 1144618430 | Nicole Longstreet | Dental Hygienist | 10767 E Traverse Hwy, Traverse City, MI 49684-6219 | 2015-01-08 |
| 1740686120 | Aimee Kathryn Stahl | Nurse Practitioner | 10767 E Traverse Hwy, Traverse City, MI 49684-6219 | 2014-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641758 | Karen Anne Paulosky | Registered Nurse | 226 S Madison St, Traverse City, MI 49684 | 2020-05-18 |
| 1891314795 | Jaclyn Elizabeth Sylvain | Student in an Organized Health Care Education/Training Program | Munson Family Practice Center, 1400 Medical Campus Drive, Traverse City, MI 49684 | 2020-04-10 |
| 1285282988 | Madelyn Drumm | Dietitian, Registered | 217 S. Madison St., Suite 3022, Traverse City, MI 49684 | 2019-08-27 |
| 1265917686 | Kacie Danielle Heading | Social Worker | 12719 S. West Bay Shore Drive, Suite 9, Traverse City, MI 49684 | 2018-10-02 |
| 1881178325 | Jacob White Ph.d., Pllc | Psychologist | 3537 W. Front Street, Suite F, Traverse City, MI 49684 | 2018-09-20 |
| 1144702572 | Constance Baab, Phd, Lmsw, Pllc | Social Worker | 3301 Veterans Drive Suite 127, Traverse City, MI 49684 | 2018-09-01 |
| 1346732880 | The Skin Cancer and Dermatology Center Plc | Dermatology | 1225 W Front St Ste 2, Traverse City, MI 49684 | 2018-05-31 |
| 1790283851 | Lisa Louise Kleyps | Massage Therapist | 3337 W. South Airport Road #2, Traverse City, MI 49684 | 2018-01-24 |
| 1114447646 | Brittany Alexandra Prior | Physical Therapist | 3899 W Front Sreet, Unit 3, Traverse City, MI 49684 | 2017-06-26 |
| 1568902963 | Jennifer Scott | Behavior Technician | 515 W 14th St Unit D, Traverse City, MI 49684 | 2017-03-03 |
| Find all providers in zip 49684 | ||||
| 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 |
|---|---|---|---|---|
| 1144764804 | Irene Hogan | Dental Hygienist | 6353 Boone Rd, Traverse City, MI 49685-7951 | 2016-12-14 |
| 1699387480 | Kylie Janae Mix | Dental Hygienist | 10767 E Traverse Hwy, Traverse City, MI 49684-6219 | 2020-08-21 |
| 1952913725 | Tana Rae Golembiewski | Dental Hygienist | 10767 E Traverse Hwy, Traverse City, MI 49684-6219 | 2020-08-21 |
| 1508238270 | Laura Scott | Dental Hygienist | 10767 E Traverse Hwy, Traverse City, MI 49684-6219 | 2015-10-21 |
| 1144618430 | Nicole Longstreet | Dental Hygienist | 10767 E Traverse Hwy, Traverse City, MI 49684-6219 | 2015-01-08 |
| 1063721207 | Jennifer Ann Van Wingen | Dental Hygienist | 4944 Skyview Ct, Traverse City, MI 49684-7173 | 2010-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366042830 | Denisha Henry | Dental Hygienist | 28009 Berkshire Dr, Southfield, MI 48076-2449 | 2020-10-26 |
| 1477173367 | Susan B Leclair | Dental Hygienist | 6824 Brightwood Ct, Waterford, MI 48327-1100 | 2020-04-20 |
| 1053944686 | Elaine Christina Check | Dental Hygienist | 3510 Roosevelt Rd, Jackson, MI 49203-5263 | 2020-02-21 |
| 1720619257 | Angela Marie Compton | Dental Hygienist | 2668 Applewine, Middleville, MI 49333-8052 | 2020-02-03 |
| 1336789205 | Alaa Samir Solagh | Dental Hygienist | 7311 Appoline St, Dearborn, MI 48126-1570 | 2020-01-08 |
| 1952941825 | Ericka Melissa Smith | Dental Hygienist | 14577 Rosemont Ave, Detroit, MI 48223-2338 | 2020-01-08 |
| 1083254957 | Zahraa Solagh | Dental Hygienist | 6268 Whitefield St, Dearborn Heights, MI 48127-3013 | 2020-01-08 |
| 1811536261 | Melissa Ann Mccurtis | Dental Hygienist | 20700 Lockwood St, Taylor, MI 48180-2977 | 2020-01-02 |
| 1609415595 | Amanda Kilpatrick | Dental Hygienist | 11714 Belle River Rd, Riley, MI 48041-4322 | 2019-12-25 |
| 1366089732 | Vian Aljony | Dental Hygienist | 27273 Arden Park Cir, Farmington Hills, MI 48334 | 2019-12-04 |
| Find all providers with the same taxonomy | ||||
| City | TRAVERSE CITY |
| Zip Code | 49684 |
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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.