KATHLEEN MARR CHITWOOD (NPI# 1386935211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386935211 |
| Entity Type | Individual |
| Full Name | KATHLEEN MARR CHITWOOD |
| Credential | RDH,LAP |
| Practice Address |
12552 Centerwood Rd Se Jefferson OR 97352-9283 |
| Practice Telephone | 5039907099 |
| Mailing Telephone | 5033639544 |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2011-04-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | H0478 | OR | Dental Providers |
| Street Address |
12552 CENTERWOOD RD SE |
| City | JEFFERSON |
| State | OR |
| Zip Code | 97352-9283 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033480314 | Ann Schlomer Lehoullier | Veterinarian | 2377 Wintercreek Rd Se, Jefferson, OR 97352 | 2012-01-19 |
| 1285967133 | Stayton Family Practice Inc | Family Medicine | 294 2nd St N, Jefferson, OR 97352 | 2009-09-10 |
| 1326003773 | Recovery Road Inc | Substance Abuse Rehabilitation Facility | 1587 Pacific Ridge Lane Se, Jefferson, OR 97352 | 2006-04-19 |
| 1588667851 | Jefferson Rural Fire Protection Dist | Ambulance | 189 N Main St, Jefferson, OR 97352 | 2005-05-31 |
| 1669689923 | Patrick Lynn Hart | Chiropractor | 277 North Second Street, Jefferson, OR 97352-0621 | 2007-05-17 |
| 1548624646 | Madelyn Marie Hammons | Dental Hygienist | 10822 Enchanted Way Se, Jefferson, OR 97352-9603 | 2016-04-05 |
| 1538622352 | Christopher E. Buck | Counselor | 115 S 2nd St, Jefferson, OR 97352-9701 | 2019-04-09 |
| 1366796823 | Shangri-la Corporation | Community Based Residential Treatment Facility, Mental Illness | 2614 Adams Ln Se, Jefferson, OR 97352-9713 | 2012-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922904 | Hayley Allen | Pharmacist | 2667 Maple Rd, Jefferson, OH 44047-9751 | 2020-11-06 |
| 1619574753 | Jean Carolyn Sheffield | Home Health Aide | 2770 Sylvia Ave, Jefferson, OH 44047-9774 | 2020-10-01 |
| 1346857463 | Jefferson Counseling, LLC | Counselor | 20 Lee St Ste 5, Jefferson, GA 30549-6327 | 2020-09-24 |
| 1982214763 | Kempo Corporation | Clinical Medical Laboratory | 6096 Highway 151, Jefferson, SC 29718-5813 | 2020-08-05 |
| 1245858323 | Jamie Anne Taylor | Massage Therapist | 3511 River Rd Ste B, Jefferson, LA 70121-4162 | 2020-07-06 |
| 1861019739 | Thomas R. Dupree Jr. | Nurse Practitioner | 321 Brooks, Jefferson, TX 75657-4443 | 2020-06-26 |
| 1750908620 | Tammy K Dupree | Nurse Practitioner | 321 Brooks # 321, Jefferson, TX 75657-4443 | 2020-06-26 |
| 1851917710 | Lux Psychiatry, Pllc | Psychiatry & Neurology | 101 Colvard Street, Jefferson, NC 28640 | 2020-06-17 |
| 1831714187 | Danielle Rowe | Dentist | 1363 Pendergrass Rd, Jefferson, GA 30549-3054 | 2020-06-12 |
| 1962027425 | Melody Johnson | Social Worker | 2401 Audubon Trce, Jefferson, LA 70121-1554 | 2020-06-10 |
| Find all providers in JEFFERSON | ||||
| 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 |
|---|---|---|---|---|
| 1548624646 | Madelyn Marie Hammons | Dental Hygienist | 10822 Enchanted Way Se, Jefferson, OR 97352-9603 | 2016-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789439 | Carlin Chung | Dental Hygienist | 8839 Sw Amicus Ter, Beaverton, OR 97007-9045 | 2020-10-30 |
| 1770196586 | Sacha Ariana Lodge | Dental Hygienist | 17065 Shawnee Circle, Bend, OR 97707 | 2020-08-31 |
| 1366051955 | Tia Glanding | Dental Hygienist | 490 W Pickett Creek Rd, Grants Pass, OR 97527-9668 | 2020-07-29 |
| 1396354098 | Sierra Nicole Miller | Dental Hygienist | 2383 Nw Hackamore Ln, Prineville, OR 97754-8011 | 2020-07-28 |
| 1447877899 | Kelly Smith | Dental Hygienist | 7700 Sw Garden Home Rd Apt 24, Portland, OR 97223-7496 | 2020-07-01 |
| 1174159453 | Tiffany Bunn | Dental Hygienist | 7313 Ne Imbrie Dr, Hillsboro, OR 97124-7595 | 2020-03-18 |
| 1598399396 | Barbara Angela Worthey | Dental Hygienist | 1050 Sw 6th Ave, Portland, OR 97204-1156 | 2020-03-02 |
| 1073144671 | Michelle Yen Nguyen | Dental Hygienist | 15280 Se Baron Loop, Happy Valley, OR 97086-4468 | 2020-02-01 |
| 1265063440 | Megan Diane Hinchcliff | Dental Hygienist | 106 Maple Blvd, Wood Village, OR 97060-1111 | 2020-01-28 |
| 1598305765 | Gisela Zepeda | Dental Hygienist | 5851 Se Chase Rd, Gresham, OR 97080-8282 | 2020-01-15 |
| 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.