NICOLE SHIVELY (NPI# 1407319767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407319767 |
| Entity Type | Individual |
| Full Name | NICOLE SHIVELY |
| Practice Address |
6051 Frankfort Hwy Benzonia MI 49616-9558 |
| Mailing Address |
10767 E Traverse Hwy Traverse City MI 49684-6219 |
| Practice Telephone | 2313834800 |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2019-04-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 2902014461 | MI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124670211 | Nicole Shively | Physical Therapist | 4347 W Northwest Hwy Ste 180, Dallas, TX 75220-3863 | 2019-07-10 |
| Street Address |
6051 FRANKFORT HWY |
| City | BENZONIA |
| State | MI |
| Zip Code | 49616-9558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457351751 | Janis Lyn Frazee | Nurse Practitioner | 6051 Frankfort Hwy, Suite 100, Benzonia, MI 49616-9558 | 2005-07-28 |
| 1275178972 | Asia Lopez-chard | Social Worker | 6051 Frankfort Hwy, Benzonia, MI 49616-9558 | 2019-11-18 |
| 1013552710 | Heather Messer | Social Worker | 6051 Frankfort Hwy, Benzonia, MI 49616-9558 | 2019-11-18 |
| 1629619366 | Payton R Burns | Behavior Technician | 6051 Frankfort Hwy, Benzonia, MI 49616-9558 | 2019-10-03 |
| 1831746742 | Connie M Brem | Social Worker | 6051 Frankfort Hwy, Benzonia, MI 49616-9558 | 2019-08-26 |
| 1306403647 | Ashley K Knox | Behavior Technician | 6051 Frankfort Hwy, Benzonia, MI 49616-9558 | 2019-05-22 |
| 1255995130 | Kandi J Mckenzie | Counselor | 6051 Frankfort Hwy, Benzonia, MI 49616-9558 | 2019-04-26 |
| 1508420845 | Christine M O'keefe | Counselor | 6051 Frankfort Hwy, Benzonia, MI 49616-9558 | 2019-04-23 |
| 1942779970 | Hannah Wallaker | Behavior Technician | 6051 Frankfort Hwy, Benzonia, MI 49616-9558 | 2018-11-20 |
| 1487138368 | Kristi Kay Morrow | Social Worker | 6051 Frankfort Hwy, Benzonia, MI 49616-9558 | 2018-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154725034 | The Homesteader, Inc. | Assisted Living Facility | 7953 Love Rd, Benzonia, MI 49616 | 2014-10-21 |
| 1972828465 | Robert Edwayne Bodell | Counselor | 8137 Love Road, Benzonia, MI 49616 | 2010-03-29 |
| 1881880136 | Susan Reeder Breuer | Psychologist | 6350 Ridge Dr, #13, Benzonia, MI 49616 | 2007-09-20 |
| 1043363880 | Janine Felice-johnson | Chiropractor | 6635 North St, Benzonia, MI 49616 | 2007-01-18 |
| 1518361401 | West Michigan Home Care, Inc | Home Health | 7953 Love Rd, Benzonia, MI 49616 | 2014-10-21 |
| 1699829556 | Northwest Synergy Inc. | Pharmacy | 1693 Benzie Hwy, Benzonia, MI 49616-0060 | 2007-01-22 |
| 1497822761 | Murpharm Inc | Pharmacy | 1747 Benzie Hwy, Benzonia, MI 49616-8600 | 2006-11-29 |
| 1508481235 | Christopher Laninga | Physician Assistant | 6227 Frankfort Hwy, Benzonia, MI 49616-8632 | 2020-06-09 |
| 1962042796 | Lara Gavaldon | Physician Assistant | 6227 Frankfort Hwy, Benzonia, MI 49616-8632 | 2020-01-09 |
| 1447759097 | Lindsey Banktson | Physician Assistant | 6227 Frankfort Hwy, Benzonia, MI 49616-8632 | 2018-02-09 |
| Find all providers in zip 49616 | ||||
| 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 |
|---|---|---|---|---|
| 1134612237 | Pamela Coombs | Dental Hygienist | 6051 Frankfort Hwy, Benzonia, MI 49616-9558 | 2018-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366042830 | Denisha Henry | Dental Hygienist | 28009 Berkshire Dr, Southfield, MI 48076-2449 | 2020-10-26 |
| 1477173367 | Susan B Leclair | Dental Hygienist | 6824 Brightwood Ct, Waterford, MI 48327-1100 | 2020-04-20 |
| 1053944686 | Elaine Christina Check | Dental Hygienist | 3510 Roosevelt Rd, Jackson, MI 49203-5263 | 2020-02-21 |
| 1720619257 | Angela Marie Compton | Dental Hygienist | 2668 Applewine, Middleville, MI 49333-8052 | 2020-02-03 |
| 1336789205 | Alaa Samir Solagh | Dental Hygienist | 7311 Appoline St, Dearborn, MI 48126-1570 | 2020-01-08 |
| 1952941825 | Ericka Melissa Smith | Dental Hygienist | 14577 Rosemont Ave, Detroit, MI 48223-2338 | 2020-01-08 |
| 1083254957 | Zahraa Solagh | Dental Hygienist | 6268 Whitefield St, Dearborn Heights, MI 48127-3013 | 2020-01-08 |
| 1811536261 | Melissa Ann Mccurtis | Dental Hygienist | 20700 Lockwood St, Taylor, MI 48180-2977 | 2020-01-02 |
| 1609415595 | Amanda Kilpatrick | Dental Hygienist | 11714 Belle River Rd, Riley, MI 48041-4322 | 2019-12-25 |
| 1366089732 | Vian Aljony | Dental Hygienist | 27273 Arden Park Cir, Farmington Hills, MI 48334 | 2019-12-04 |
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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.