BRENDA BOSWORTH (NPI# 1386014140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386014140 |
| Entity Type | Individual |
| Full Name | BRENDA BOSWORTH |
| Practice Address |
686 Two Mile Rd Port Allegany PA 16743-5018 |
| Practice Telephone | 8146422732 |
| Mailing Telephone | 8146422732 |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2015-10-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 125K00000X | Advanced Practice Dental Therapist | PHDH000015 | PA | Dental Providers |
| Street Address |
686 TWO MILE RD |
| City | PORT ALLEGANY |
| State | PA |
| Zip Code | 16743-5018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801083720 | Alcohol and Drug Abuse Services, Inc. | Case Management | 118 Chestnut Street, Port Allegany, PA 16743 | 2007-09-25 |
| 1891910535 | Nathan P Carlson | Dentist | 37 Pearl St, Port Allegany, PA 16743 | 2007-04-16 |
| 1831209675 | Richard A Kunkel | Dentist | 316 E Arnold Ave, Port Allegany, PA 16743 | 2006-08-30 |
| 1134150733 | Jennifer A Morrison | Social Worker | 10 Church St., Port Allegany, PA 16743 | 2006-07-05 |
| 1952341646 | Jason Tronetti | Family Medicine | 45 Pine Street, Port Allegany, PA 16743 | 2006-06-08 |
| 1609361179 | Debra Ann Losey | Physician Assistant | 45 N Pine St, Port Allegany, PA 16743 | 2018-06-27 |
| 1720203466 | Philip L Carlson Jr. | Dentist | 37 Pearl St, Port Allegany, PA 16743 | 2007-04-16 |
| 1689899353 | Mark P Carlson | Dentist | 37 Pearl St, Port Allegany, PA 16743 | 2007-04-16 |
| 1679614507 | Newtko Inc | Durable Medical Equipment & Medical Supplies | 54 - 56 Main Street, Port Allegany, PA 16743-0000 | 2007-02-12 |
| 1184849093 | Alcohol & Drug Abuse Services, Inc | Substance Abuse Rehabilitation Facility | 12 Church St Ste 100, Port Allegany, PA 16743-1116 | 2007-04-16 |
| Find all providers in zip 16743 | ||||
| Taxonomy Code | 125K00000X |
| Grouping | Dental Providers |
| Classification | Advanced Practice Dental Therapist |
| An Advanced Practice Dental Therapist is: (1) A dental therapist who has completed additional training beyond basic dental therapy education and provides dental services in accordance with state advanced practice dental therapist laws or statutes; or (2) A dental hygienist with a graduate degree in advanced dental therapy prepared for independent and interdependent decision making and direct accountability for clinical judgment across the dental health care continuum. The individual has been authorized by the relevant state board or a tribal entity to provide services under the remote supervision of a dentist. The functions of the advanced practice dental therapist vary based on the needs of the dentist, the educational preparation of the advanced practice dental therapist and state dental practice acts and regulations. |
| Notes: Source: Summarized from Minnesota Statute 150A.106. [7/1/2012: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265931703 | Mary Elizabeth Goshorn | Advanced Practice Dental Therapist | 46 Red Hill Ct, Newport, PA 17074-8706 | 2018-02-11 |
| 1831642917 | Dentistry At 1818 Market St | Advanced Practice Dental Therapist | 1818 Market St, Suite 100, Philadelphia, PA 19103-3638 | 2016-07-26 |
| City | PORT ALLEGANY |
| Zip Code | 16743 |
Please comment or provide details below to improve the information on BRENDA BOSWORTH.
| 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.