JACQUELINE EVANS (NPI# 1255602660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255602660 |
| Entity Type | Individual |
| Full Name | JACQUELINE EVANS |
| Credential | RDH |
| Practice Address |
37944 Church Ave Dade City FL 33525-4207 |
| Mailing Address |
Po Box 232 Dade City FL 33526-0232 |
| Practice Telephone | 3525182000 |
| Practice Fax Number | 3525675193 |
| Mailing Telephone | 3525182000 |
| Mailing Fax Number | 3525671974 |
| Enumeration Date | 2012-01-17 |
| Last Update Date | 2012-01-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH10640 | FL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | LICENSE | DH10640 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954333 | Jacqueline Evans | Technician | 501 E Lake Mead Pkwy Apt 2313, Henderson, NV 89015-6425 | 2020-08-28 |
| 1154733582 | Jacqueline Celeste Evans | Emergency Medicine | 3551 Roger Brooke Dr # 3600, Fort Sam Houston, TX 78234 | 2014-05-20 |
| 1619268034 | Jacqueline Marie Evans | Massage Therapist | 3604 Laredo Dr, A, Lexington, KY 40517-2173 | 2011-04-20 |
| 1588755441 | Jacqueline Meryl Evans | Internal Medicine | 2818 Audubon Cir, Davis, CA 95618-7600 | 2006-09-27 |
| 1851378871 | Jacqueline Ann Evans | Obstetrics & Gynecology | 2150 Noll Dr, Lancaster, PA 17603 | 2005-12-30 |
| 1235775438 | Jacqueline M Evans | Physician Assistant | 2 Shircliff Way Ste 605, Jacksonville, FL 32204-4762 | 2019-11-22 |
| 1821579335 | Jacqueline Hae Yun Evans | Physician Assistant | 2 W Fern Ave, Redlands, CA 92373-5916 | 2018-08-22 |
| 1245788488 | Jacqueline Evans | Student in an Organized Health Care Education/Training Program | 105 Garfield Ave, Eau Claire, WI 54701-4811 | 2016-09-16 |
| 1194272914 | Jacqueline Michelle Evans | Counselor | 711 Sw Ramsey Ave, Grants Pass, OR 97527-5500 | 2016-09-09 |
| 1053726315 | Jacqueline Carmen Elizabeth Evans | Optometrist | 10705 W Colfax Ave, Lakewood, CO 80215-3813 | 2014-06-25 |
| Street Address |
37944 CHURCH AVE |
| City | DADE CITY |
| State | FL |
| Zip Code | 33525-4207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376516096 | Clarence Mcnair | Dentist | 37944 Church Ave, Dade City, FL 33525 | 2006-02-13 |
| 1528349123 | John S Woodyard | Physician Assistant | 37944 Church Ave, Dade City, FL 33525-4207 | 2011-09-09 |
| 1083834907 | Kimberly Princess Rader | Licensed Practical Nurse | 37944 Church Ave, Dade City, FL 33525 | 2007-04-26 |
| 1235251398 | Jennifer Lynn Cowherd | Nurse Practitioner | 37944 Church Ave, Dade City, FL 33525 | 2007-04-06 |
| 1790806990 | Sheryl Ronna Baum | Registered Nurse | 37944 Church Ave, Premier Community Health Group, Dade City, FL 33525 | 2007-04-03 |
| 1073656351 | Patricia Diamond Anderson | Licensed Practical Nurse | 37944 Church Ave, Dade City, FL 33525 | 2007-02-15 |
| 1871636159 | Norma D Bruce | Registered Nurse | 37944 Church Ave, Dade City, FL 33525 | 2007-02-15 |
| 1326180753 | Misti Lee Strickland | Registered Nurse | 37944 Church Ave, Dade City, FL 33525 | 2007-02-13 |
| 1487616439 | Rosario Bala | Pediatrics | 37944 Church Ave, Dade City, FL 33525 | 2006-04-05 |
| 1386613578 | Edith Moore | Dentist | 37944 Church Ave, Dade City, FL 33525 | 2006-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548735772 | Medical Risk Solutions | Family Medicine | 38503 Centennial Road, Dade City, FL 33525 | 2018-10-03 |
| 1629593280 | Kiria Cuevas | Pharmacist | 11830 Us-301, Dade City, FL 33525 | 2017-08-04 |
| 1477005452 | Nancy T Mathew | Nurse Practitioner | 9834 Pine Leaf Lane, Dade City, FL 33525 | 2016-10-26 |
| 1720470933 | Jackalynne Burns | Behavioral Analyst | 11820 Munbury Dr, Dade City, FL 33525 | 2015-02-25 |
| 1497146781 | Bridgett Crews | Case Manager/Care Coordinator | 9315 Handcart Rd., Dade City, FL 33525 | 2015-02-09 |
| 1437457389 | Shannon Clarke Korst | Massage Therapist | 11045 Old Lakeland Hwy, Dade City, FL 33525 | 2011-03-02 |
| 1689907420 | Gladys Borges | Nutritionist | 13941 15th Street, Pchd Wic & Nutrition Services, Dade City, FL 33525 | 2009-09-11 |
| 1730412628 | Veekas Patel | Pharmacist | 12715 Hwy 301, Dade City, FL 33525 | 2009-09-10 |
| 1376765347 | Linda F Elmore | Technician, Other | 12649 Us Hwy 301, Dade City, FL 33525 | 2007-05-02 |
| 1417086190 | Marta M Velasquez | Pharmacist | 12649 Hwy 301, Dade City, FL 33525 | 2007-03-05 |
| Find all providers in zip 33525 | ||||
| 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 |
|---|---|---|---|---|
| 1518939602 | Vicky Montgomery | Dental Hygienist | 37944 Chruch Ave, Dade City, FL 33525 | 2006-02-03 |
| 1174057525 | Jennifer Laurel | Dental Hygienist | 37944 Pasco Ave, Suite B, Dade City, FL 33525-4202 | 2017-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164037453 | Mary Kate Pace | Dental Hygienist | 1115 N Eglin Pkwy, Shalimar, FL 32579-1228 | 2020-09-13 |
| 1578173910 | Kimberly Beck | Dental Hygienist | 18030 Sandtrap Dr, Naples, FL 34114-7596 | 2020-07-31 |
| 1962012328 | Melody Jean Garcia | Dental Hygienist | Navy Medicene Support Command : Medical Staff Services, Bldg H, 2005 Knight Lane, Jacksonville, FL 32221-0140 | 2020-07-31 |
| 1043829385 | Mailyn Cortes | Dental Hygienist | 1134 Sw 12th Ct, Miami, FL 33135-5418 | 2020-07-22 |
| 1841817988 | Polly Ward | Dental Hygienist | 1022 Main St Ste P, Dunedin, FL 34698-5225 | 2020-07-04 |
| 1760007959 | Leanne Crist Nichol | Dental Hygienist | 6957 Boulder Run Loop, Wesley Chapel, FL 33545-4854 | 2020-06-12 |
| 1124641337 | Rhoda P Kublickis | Dental Hygienist | 274 Tropic Dr, Lauderdale By The Sea, FL 33308-5428 | 2020-05-21 |
| 1306468533 | Heather Paul | Dental Hygienist | 8839 Handel Loop, Land O Lakes, FL 34637 | 2020-05-11 |
| 1902426729 | Jose Dalby Contreras | Dental Hygienist | 690 Sw 1st Ct Apt 2319, Miami, FL 33130-2927 | 2020-04-22 |
| 1659991974 | Maggie Cruciata | Dental Hygienist | 974 International Pkwy, Lake Mary, FL 32746-5219 | 2020-04-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JACQUELINE EVANS.
| 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.