SUMMER MICHELE LYNCH (NPI# 1275075244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275075244 |
| Entity Type | Individual |
| Full Name | SUMMER MICHELE LYNCH |
| Credential | DHAT |
| Practice Address |
216 Dalton Street Suite 102 Haines AK 99827 |
| Mailing Address |
Po Box 1529 Haines AK 99827-1529 |
| Practice Telephone | 9077666372 |
| Mailing Telephone | 9077666372 |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 125J00000X | Dental Therapist | 16-139-DHA | AK | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | CHAP CERTIFICATION BOARD | 16-139-DHA | 01 |
| Street Address |
216 DALTON STREET SUITE 102 |
| City | HAINES |
| State | AK |
| Zip Code | 99827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437542594 | Raymond Reeves | Dentist | 216 Dalton Street, Suite 102, Haines, AK 99827 | 2015-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518431329 | Southeast Ot LLC | Occupational Therapist | 206 Piedad Road, Haines, AK 99827 | 2019-01-15 |
| 1922540335 | Hannah Blilie | Community Health Worker | 216 Dalton St, Suite 102, Haines, AK 99827 | 2016-11-16 |
| 1942669361 | Haines Volunteer Fire Department | Ambulance | 217 Haines Highway, Haines, AK 99827 | 2016-02-12 |
| 1295193472 | Ryan Salmon | Occupational Therapist | 79 Chilkat Ave, Haines, AK 99827 | 2016-02-03 |
| 1992121248 | Nicole Holm | Registered Nurse | 131 First Ave, Haines, AK 99827 | 2014-03-11 |
| 1720416886 | Bodyiq Physical Therapy and Yoga | Clinic/Center | 322 Bartlett Blvd, Haines, AK 99827 | 2013-10-28 |
| 1609127448 | Margaret Haigh Sebens | Speech-Language Pathologist | 48 Barnett Dr. East, Haines, AK 99827 | 2012-09-19 |
| 1023349701 | Heidi Rose Robichaud | Social Worker | 55 Portage St, Haines, AK 99827 | 2010-01-20 |
| 1306173752 | South East Alaska Regional Health Consortium | Clinic/Center | 37 Chilkat Ave., Klukwan, AK 99827 | 2009-11-05 |
| 1740486497 | Nancy S Johnson | Counselor | 77 Beach Rd., Haines, AK 99827 | 2007-06-21 |
| Find all providers in zip 99827 | ||||
| Taxonomy Code | 125J00000X |
| Grouping | Dental Providers |
| Classification | Dental Therapist |
| A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations. |
| Notes: Source: Summarized from Minnesota Statute 150A.105. [7/1/2012: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083251607 | Tamija Katrice Woods | Dental Therapist | 4519 E 4th Ave, Anchorage, AK 99508-2216 | 2019-12-02 |
| 1538541693 | Amanda Miles | Dental Therapist | 3449 E. Rezanof Drive, Dental Department, Kodiak, AK 99615-3449 | 2015-06-25 |
| 1205236692 | Kimberly Baldwin | Dental Therapist | 436 5th Ave Ted Stevens Way, Kotzebue, AK 99752 | 2014-09-04 |
| 1205265345 | Cora Roberts | Dental Therapist | 201 3rd Avenue, Suite 115, Seward, AK 99664 | 2013-11-08 |
| 1326654245 | Kathrine G.d.a Levi | Dental Therapist | 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2020-09-16 |
| 1790320513 | Ruby Okitkun | Dental Therapist | 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2019-11-15 |
| 1336783075 | Allison Kristi Wasuli | Dental Therapist | 733 2nd Avenue, Kotzebue, AK 99752 | 2019-11-06 |
| 1922579143 | Janette Carmen Ulak | Dental Therapist | 49 Airport Rd, Hooper Bay Clinic, Hooper Bay, AK 99604 | 2018-12-16 |
| 1609345677 | Samantha Sparks | Dental Therapist | 222 Tongass Dr, Sitka, AK 99835-9416 | 2018-11-19 |
| 1134696156 | Shonna Wheeler | Dental Therapist | 100 Slocum Drive, King Cove, AK 99612 | 2018-10-29 |
| Find all providers with the same taxonomy | ||||
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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.