SHELLY BRIANNE CRECELIUS


Address: 1141 Pear Tree Ln, Napa, CA 94558-6484
Phone: 7072541774

SHELLY BRIANNE CRECELIUS (NPI# 1316460744) 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) 1316460744
Entity Type Individual
Full Name SHELLY BRIANNE CRECELIUS
Other Name SHELLY BRIANNE STAFFORD
Credential RDH
Practice Address 1141 Pear Tree Ln
Napa
CA 94558-6484
Practice Telephone 7072541774
Mailing Telephone 7072541774
Enumeration Date 2017-07-18
Last Update Date 2017-08-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist 23160 CA Dental Providers

Office Location

Street Address 1141 PEAR TREE LN
City NAPA
State CA
Zip Code 94558-6484

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558366054 Heidi Ann Biegel Advanced Practice Midwife 1141 Pear Tree Ln, Napa, CA 94558-6484 2005-06-20
1528603610 Irma Elizabeth Arellano Dental Hygienist 1141 Pear Tree Ln, Napa, CA 94558-6484 2019-11-12
1881236735 Barbara Willard Nurse Practitioner 1141 Pear Tree Ln, Napa, CA 94558-6484 2019-10-11
1801438817 Griselda I Ochoa Registered Nurse 1141 Pear Tree Ln, Napa, CA 94558-6484 2019-10-10
1235698705 Michelle Marie Berg Dental Hygienist 1141 Pear Tree Ln, Napa, CA 94558-6484 2019-03-14
1386119196 Elisabet Preciado Registered Nurse 1141 Pear Tree Ln, Napa, CA 94558-6484 2018-10-08
1548776271 Disnay Castrejon Pharmacist 1141 Pear Tree Ln, Napa, CA 94558-6484 2017-12-18
1699292540 Adriana Gutierrez Registered Nurse 1141 Pear Tree Ln, Napa, CA 94558-6484 2017-08-23
1639605173 Dale Frank Weide Registered Nurse 1141 Pear Tree Ln, Napa, CA 94558-6484 2017-05-03
1154865004 Valeria De Haro Felix Registered Nurse 1141 Pear Tree Ln, Napa, CA 94558-6484 2016-12-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811542319 Napa Solano Plastic Surgery. Inc. Plastic Surgery 1175 Trancas Street, Napa, CA 94558 2019-08-02
1891357851 Guadalupe Barboza Student in an Organized Health Care Education/Training Program 2751 Napa Valley Corporate Drive, Building A, Mental Health Division, Napa, CA 94558 2019-06-30
1285154591 Jacey J Castillo Rehabilitation Practitioner 2751 Napa Valley Corporate Dr. Bldg B, Napa, CA 94558 2017-06-27
1811447766 Caitlin Ford Massage Therapist 2441 W Imola Ave, Napa, CA 94558 2016-10-04
1700252384 Azucena Cortez Student in an Organized Health Care Education/Training Program 3450 Villa Ln. #3, Napa, CA 94558 2015-08-18
1982089603 Vnessa Rotolo Counselor 2100 Napa Valley Hwy, Bldg 253 M1 & M2, Napa, CA 94558 2015-07-23
1346657772 Catherine Gordon Marriage & Family Therapist 1001 Second Street, Suite 355, Napa, CA 94558 2014-07-17
1811308968 Jordan A. Lamberton D.d.s., Inc. Durable Medical Equipment & Medical Supplies 3270 Beard Rd., Napa, CA 94558 2014-05-12
1801223797 Ole Health Clinic/Center 780 Lincoln Ave, Napa, CA 94558 2013-10-09
1255766614 Eldonna May Christie Obstetrics & Gynecology 3160 Mt. Veeder Rd., Napa, CA 94558 2013-09-04
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Taxonomy Information

Taxonomy Code 124Q00000X
Grouping Dental Providers
Classification Dental Hygienist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912494261 Krista Marie Gavira Dental Hygienist 3434 Villa Ln Ste 120, Napa, CA 94558-6414 2018-04-21
1528603610 Irma Elizabeth Arellano Dental Hygienist 1141 Pear Tree Ln, Napa, CA 94558-6484 2019-11-12
1235698705 Michelle Marie Berg Dental Hygienist 1141 Pear Tree Ln, Napa, CA 94558-6484 2019-03-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1346841046 Betty Satomi Fukumoto Dental Hygienist 16008 S Manhattan Pl, Gardena, CA 90247-3681 2020-11-08
1417558180 Maria Antonette De Lara Kim Dental Hygienist 66 S San Gorgonio Ave Ste 5, Banning, CA 92220-6020 2020-11-07
1083215982 Sokbunntha Yan Dental Hygienist 5810 Fidler Ave, Lakewood, CA 90712-1251 2020-11-06
1649871914 Maryam Ghahramani Shahneshin Dental Hygienist 1961 Grove Pl, Escondido, CA 92027-4101 2020-11-04
1285234047 Maryann Detar Dental Hygienist 3154 Alum Rock Ave, San Jose, CA 95127-2903 2020-10-29
1194325597 Connie Lim Good Dental Hygienist 14th Street Bldg 13128, Oceanside, CA 92055 2020-10-27
1336748896 Cynthia Garcia Macdougall Dental Hygienist 444 Hermosa Ave Apt 302, Hermosa Beach, CA 90254-4433 2020-10-25
1346849163 Ambrosia Evon Steljes Dental Hygienist Building 13128 14th Street, Camp Pendleton, CA 92055-5221 2020-10-22
1427657261 Julie Lynn March Dental Hygienist 19871 Mitscher Way Bldg 2495, San Diego, CA 92145-5103 2020-10-22
1386243327 Leticia Isabel Alcantar Dental Hygienist Bldg 520448, Camp Pendleton, CA 92055 2020-10-21
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Competitor

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City NAPA
Zip Code 94558

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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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