KELLIE LYNN MURPHY (NPI# 1457984783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457984783 |
| Entity Type | Individual |
| Full Name | KELLIE LYNN MURPHY |
| Credential | RDH |
| Practice Address |
4325 Grand Ave Duluth MN 55807-2730 |
| Practice Telephone | 2187221497 |
| Practice Fax Number | 2186246594 |
| Mailing Telephone | 2187221497 |
| Mailing Fax Number | 2186246594 |
| Enumeration Date | 2020-02-14 |
| Last Update Date | 2020-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | H4363 | MN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679042691 | Kellie Murphy | Physical Medicine & Rehabilitation | 3300 Gallows Rd, Falls Church, VA 22042 | 2018-11-20 |
| 1962992560 | Kellie S Murphy | Counselor | 6502 Grand Teton Plz Ste 204, Madison, WI 53719 | 2018-05-18 |
| Street Address |
4325 GRAND AVE |
| City | DULUTH |
| State | MN |
| Zip Code | 55807-2730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861484875 | Barbara G Hemenway | Family Medicine | 4325 Grand Ave, Duluth, MN 55807-2730 | 2005-08-16 |
| 1417598079 | Brittany Morgan Hamm | Nurse Practitioner | 4325 Grand Ave, Duluth, MN 55807-2730 | 2019-10-04 |
| 1962997023 | Yin Cao | Dentist | 4325 Grand Ave, Duluth, MN 55807-2730 | 2018-06-29 |
| 1609367895 | Susan Marie Johnson | Licensed Practical Nurse | 4325 Grand Ave, Duluth, MN 55807-2730 | 2018-05-23 |
| 1467993774 | Kristie Hills | Counselor | 4325 Grand Ave, Duluth, MN 55807-2730 | 2017-03-20 |
| 1124569041 | Nicole Shockley | Nurse Practitioner | 4325 Grand Ave, Duluth, MN 55807-2730 | 2017-03-10 |
| 1457714560 | Alecia Radtke | Licensed Practical Nurse | 4325 Grand Ave, Duluth, MN 55807-2730 | 2016-04-05 |
| 1386008449 | Amber Tibbetts | Licensed Practical Nurse | 4325 Grand Ave, Duluth, MN 55807-2730 | 2016-04-05 |
| 1679934012 | Rebecca Ann Peterson | Nurse Practitioner | 4325 Grand Ave, Duluth, MN 55807 | 2016-03-13 |
| 1467813964 | Lisa Ann Robertson | Dental Hygienist | 4325 Grand Ave, Duluth, MN 55807-2730 | 2016-03-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568918126 | Jaime Lynn Mallory | Counselor | 4000 W 9th St., Duluth, MN 55807 | 2016-09-01 |
| 1568817138 | Fathers Rise Together | Community/Behavioral Health | 319 N 22nd Ave West, Duluth, MN 55807 | 2016-05-02 |
| 1558660357 | Melissa June Huray | Counselor | 326 North Central Avenue, Duluth, MN 55807 | 2011-03-18 |
| 1376757682 | Chiropractic Health Center P A | Chiropractor | 215 North Central Ave, Duluth, MN 55807 | 2007-05-09 |
| 1639235914 | Mark Andrew Nelson Albee | Social Worker | 4214 Grand Avenue, Duluth Clinic-west, Duluth, MN 55807 | 2006-12-29 |
| 1851457758 | Northwood Children's Services, Inc. | Counselor | 4000 W 9th St, Duluth, MN 55807 | 2006-12-28 |
| 1326134529 | Jane Patricia Rudd | Family Medicine | 4212 Grand Ave, Duluth, MN 55807 | 2006-10-05 |
| 1548290257 | Kirsten I Bich | Family Medicine | 4212 Grand Ave, Essentia Health West Duluth Clinic, Duluth, MN 55807 | 2006-07-05 |
| 1033140660 | Wendell R Bonner | Family Medicine | 4212 Grand Ave, Duluth, MN 55807 | 2006-07-05 |
| 1225525645 | Mark J Engebretson | Social Worker | 5814 Elinor St, Duluth, MN 55807-1215 | 2018-04-20 |
| Find all providers in zip 55807 | ||||
| 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 |
|---|---|---|---|---|
| 1174152078 | Ligita Lizuniene | Dental Hygienist | 3705 Old Norcross Rd Ste 300, Duluth, GA 30096-4336 | 2020-04-03 |
| 1790111250 | Tammy Kaye Miskovich | Dental Hygienist | 3614 Minnesota Ave, Duluth, MN 55802-2541 | 2013-09-16 |
| 1295084945 | Rikki Kolquist | Dental Hygienist | 730 W Skyline Pkwy, Duluth, MN 55806-2436 | 2012-09-07 |
| 1194002816 | Anita Caines | Dental Hygienist | 8104 Vinland St, Duluth, MN 55810-1402 | 2011-11-09 |
| 1952688871 | Megan Rock | Dental Hygienist | 2720 W 7th St, Duluth, MN 55806-1345 | 2011-11-06 |
| 1043819758 | Alina D Simonca | Dental Hygienist | 3780 Old Norcross Rd Ste 303, Duluth, GA 30096-1742 | 2020-10-22 |
| 1467813964 | Lisa Ann Robertson | Dental Hygienist | 4325 Grand Ave, Duluth, MN 55807-2730 | 2016-03-10 |
| 1205223732 | Jennifer Springer | Dental Hygienist | 4325 Grand Ave, Duluth, MN 55807-2730 | 2015-04-22 |
| 1093102725 | Amy Marxhausen | Dental Hygienist | 4325 Grand Ave, Duluth, MN 55807-2730 | 2015-04-21 |
| 1851640478 | Kristy Lynn Derosia | Dental Hygienist | 1420 London Rd, Suite 206, Duluth, MN 55805-2433 | 2012-08-29 |
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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.