VICKI LEE GIACOMAN (NPI# 1477194421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477194421 |
Entity Type | Individual |
Full Name | VICKI LEE GIACOMAN |
Practice Address |
7520 Totem Beach Rd Tulalip WA 98271-6160 |
Practice Telephone | 3607164511 |
Mailing Telephone | 3607164511 |
Enumeration Date | 2019-10-01 |
Last Update Date | 2019-10-01 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 126800000X | Dental Assistant | 60897967 | WA | Dental Providers |
Street Address |
7520 TOTEM BEACH RD |
City | TULALIP |
State | WA |
Zip Code | 98271-6160 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770531501 | Tulalip Tribes of Washington | Psychiatry & Neurology | 7520 Totem Beach Rd, Tulalip, WA 98271 | 2006-05-04 |
1730747544 | Bibianna Ancheta | Massage Therapist | 7520 Totem Beach Rd, Tulalip, WA 98271-6160 | 2019-06-05 |
1023500386 | Miguel Antonio Arteaga | Registered Nurse | 7520 Totem Beach Rd, Tulalip, WA 98271-6160 | 2018-06-03 |
1306361746 | Preet Kamal | Nurse Practitioner | 7520 Totem Beach Rd, Tulalip, WA 98271-6160 | 2017-08-07 |
1952840290 | Susan Lynn Adams | Dietitian, Registered | 7520 Totem Beach Rd, Tulalip, WA 98271-6160 | 2017-02-20 |
1770021677 | Andrew Lee Morris | Nurse Practitioner | 7520 Totem Beach Rd, Tulalip, WA 98271 | 2017-02-10 |
1255722484 | Julie J Mann | Nurse Practitioner | 7520 Totem Beach Rd, Tulalip, WA 98271-6160 | 2015-02-10 |
1184024747 | Kristin Mellein | Registered Nurse | 7520 Totem Beach Rd, Tulalip, WA 98271-6160 | 2014-09-01 |
1699186023 | Kari Baggarley | Massage Therapist | 7520 Totem Beach Rd, Tulalip, WA 98271-6160 | 2014-05-20 |
1336563402 | Litonya Egawa | Acupuncturist | 7520 Totem Beach Rd, Tulalip, WA 98271-6160 | 2014-02-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174155345 | Kaiser Foundation Health Plan of Washington | Pharmacy | 2335 172nd Street Ne, Marysville, WA 98271 | 2020-02-06 |
1124511126 | Roger Lucas, P.s. | Dentist | 3806 116th St. Ne, Marysville, WA 98271 | 2018-06-13 |
1679020150 | Vest Seattle, LLC | Psychiatric Hospital | 3955 156th St, Marysville, WA 98271 | 2016-09-01 |
1790141828 | Washington Dental Corporation, PC | Dentist | 17103 28th Dr. Ne, Suite 104, Marysville, WA 98271 | 2016-01-05 |
1376932533 | Mindy Wiese | Counselor | 2321 Marine Dr. Ne, Marysville, WA 98271 | 2015-01-12 |
1609276260 | Sara Julsrud | Counselor | 2828 Mission Hill Road, Tulalip, WA 98271 | 2014-09-01 |
1710395355 | Sandra Breaux | Pharmacist | 8924 Quil Ceda Blvd, Tulalip, WA 98271 | 2014-07-28 |
1245665207 | Delores Helen Dusterhoft | Registered Nurse | 4421 122nd Pl Ne, Marysville, WA 98271 | 2013-09-10 |
1295079390 | Santi Wibawantini | Marriage & Family Therapist | 2321 Marine Dr Ne, Tulalip, WA 98271 | 2012-11-15 |
1558690586 | Stephen Lee | Pharmacist | 8825 34th Avenue Ne, Suite A, Tulalip, WA 98271 | 2009-12-22 |
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Taxonomy Code | 126800000X |
Grouping | Dental Providers |
Classification | Dental Assistant |
An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary. |
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134739881 | Bryonna Floyd | Dental Assistant | 11572 17th & C Street, Joint Base Lewis-mcchord, WA 98433 | 2020-08-07 |
1932726049 | Usama Al Saedi | Dental Assistant | 1421 Nw 85th St Apt 110, Seattle, WA 98117-4298 | 2020-07-06 |
1881224806 | James Eric Carvelli | Dental Assistant | 11572 17th Street & C Street, Joint Base Lewis Mcchord, WA 98433 | 2020-01-17 |
1932747961 | Riley Whipple | Dental Assistant | 1401 S 45th Ave, West Richland, WA 99353-7904 | 2019-12-20 |
1700423274 | Beenish Farooq | Dental Assistant | 10710 Ne 10th St Apt 1702, Bellevue, WA 98004-1068 | 2019-12-04 |
1881241206 | Adena Suen Mangkornkeo | Dental Assistant | 14827 80th Ave Se, Snohomish, WA 98296-8407 | 2019-08-21 |
1043864127 | Traci Guan | Dental Assistant | 2027 196th St Sw Ste R1, Lynnwood, WA 98036-7073 | 2019-07-28 |
1316408578 | Moises Cerecedo Rios | Dental Assistant | 512 5th Ave W Apt 6, Seattle, WA 98119-3944 | 2019-03-28 |
1881161818 | Michelle Wolfe | Dental Assistant | A101, 1484, 14313 Ne 20th Ave, Vancouver, WA 98686 | 2018-10-29 |
1134615735 | Ronda Mechelle Pugaczewski | Dental Assistant | 12621 164th St E, Puyallup, WA 98374-9523 | 2018-07-06 |
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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.