JACKIE RAE KUNKLE (NPI# 1508052135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508052135 |
| Entity Type | Individual |
| Full Name | JACKIE RAE KUNKLE |
| Credential | RDH |
| Practice Address |
8712 One Half E Maringo Dr Spokane WA 99212-1822 |
| Practice Telephone | 5095358760 |
| Practice Fax Number | 5093253919 |
| Mailing Telephone | 5095358760 |
| Mailing Fax Number | 5095358760 |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2007-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 5900014 | 05 |
| Street Address |
8712 ONE HALF E MARINGO DR |
| City | SPOKANE |
| State | WA |
| Zip Code | 99212-1822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750889580 | Melissa Lerai Lunsford | Massage Therapist | 1212 N Argonne Rd, Spokane Valley, WA 99212 | 2018-01-26 |
| 1225558539 | Paul James Hammerschmidt | Licensed Practical Nurse | 5600 E. 8th Avenue, Spokane Valley, WA 99212 | 2017-06-27 |
| 1497009302 | Ray A Schoessler | Pharmacist | 9009 E Trent Ave, Spokane, WA 99212 | 2012-10-30 |
| 1215205224 | Wchs Inc | Counselor | 4305 East Trent Avenue, Spokane, WA 99212 | 2011-12-05 |
| 1609159466 | Andrey V Altukhov | Specialist | 906 S. Park Rd, Spokane Valley, WA 99212 | 2011-09-27 |
| 1215189808 | Providence Health & Services - Wa | Home Health | 1000 N Argonne Rd, Spokane Valley, WA 99212 | 2008-10-15 |
| 1568674414 | Colleen Kirsten Monroe | Pharmacist | 5601 E Sprague, Spokane, WA 99212 | 2007-05-04 |
| 1205968534 | Jeremiah Michael Stevens | Naturopath | 1510 N Argonne Rd Ste G, Spokane Valley, WA 99212 | 2007-03-12 |
| 1104957547 | Lyudmila Larkin | Specialist | 8120 E. Vista Lane, Spokane, WA 99212 | 2007-03-08 |
| 1972613511 | Costco Wholesale Corporation | Pharmacy | 5601 E Sprague Ave, Spokane Valley, WA 99212 | 2006-08-30 |
| Find all providers in zip 99212 | ||||
| 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 |
|---|---|---|---|---|
| 1497228449 | Theresa Ann Loe | Dental Hygienist | 2112 W Riverside Ave Apt 3, Spokane, WA 99201-1431 | 2019-01-02 |
| 1811399108 | Anna Zubarev | Dental Hygienist | 1612 E 7th Ave Apt B, Spokane, WA 99202-3324 | 2014-09-18 |
| 1669716965 | Parrish Renee Strong | Dental Hygienist | 4010 E 41st Ave, Spokane, WA 99223-6007 | 2012-11-27 |
| 1013270396 | Susan Lyn Mcdowell | Dental Hygienist | 4610 N Ash St Ste 201, Spokane, WA 99205-1482 | 2012-06-21 |
| 1073789442 | Gail Ann Heacox | Dental Hygienist | 1616 N Sand Brook St, Spokane, WA 99224-5092 | 2008-05-05 |
| 1023284825 | Becky J Bly | Dental Hygienist | 6509 N Stevens St, Spokane, WA 99208-4006 | 2008-05-02 |
| 1386283653 | Kristina Hivrenko | Dental Hygienist | 1001 W 2nd Ave, Spokane, WA 99201-4503 | 2020-01-03 |
| 1629619754 | Irina Ivan Ialanji | Dental Hygienist | 3919 N Maple St, Spokane, WA 99205-1349 | 2019-09-30 |
| 1104475797 | Michelle Florin | Dental Hygienist | 203 N Washington St Ste 300, Spokane, WA 99201-0254 | 2019-09-06 |
| 1043864390 | Tori Morgan Anderson | Dental Hygienist | 3919 N Maple St, Spokane, WA 99205-1349 | 2019-07-25 |
| Find all providers in SPOKANE | ||||
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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.