BRANDIE HAZELTON (NPI# 1528303708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528303708 |
| Entity Type | Individual |
| Full Name | BRANDIE HAZELTON |
| Practice Address |
5415 Ne 54th Ave Vancouver WA 98661-2165 |
| Mailing Address |
5415 Ne 54th Avenue Vancouver WA 98661 |
| Practice Telephone | 3606094170 |
| Mailing Telephone | 3606094170 |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2012-11-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | 93-0798039 | WA | Dental Providers |
| Street Address |
5415 NE 54TH AVE |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98661-2165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228417 | Cynthia Ann Holt | Social Worker | 4608 Ne 47 Street, Vancouver, WA 98661 | 2020-06-01 |
| 1235793027 | James Dostert | Counselor | 1601 E 4th Blvd. Bldg. 17, Ste A212, Vancouver, WA 98661 | 2019-04-26 |
| 1306305289 | Kathryn Susanne Scott | Social Worker | Attn: Kathryn Scott, V3cnh, 1601 E. Fourth Plain Blvd., Vancouver, WA 98661 | 2019-03-19 |
| 1952860637 | Alice Rogers | Occupational Therapist | Vancouver Public Schools, 2901 Falk Rd., Vancouver, WA 98661 | 2019-03-13 |
| 1053878538 | Paula Moore | Counselor | 9626 Ne Fourth Plain Blvd, Vancouver, WA 98661 | 2019-02-21 |
| 1558825729 | Cassandra Marie Nichols | Counselor | 1601 E 4th Blvd, Vancouver, WA 98661 | 2019-01-22 |
| 1548734148 | Lisa Kelly | Counselor | 1601 E 4th Blvd., Vancouver, WA 98661 | 2019-01-16 |
| 1518444025 | Columbia Pharmacy | Pharmacy | 2700 Ne Andresen Rd Ste E3, Vancouver, WA 98661 | 2018-07-26 |
| 1023505229 | Ellen Barbour | Counselor | 1601 E 4th Plain Blvd Bldg. 17, Ste A212, Vancouver, WA 98661 | 2018-04-13 |
| 1679096325 | Brian Scott Coleman | Counselor | 1601 East Fourth Plain Blvd., Bldg #17, Ste. A212, Vancouver, WA 98661 | 2017-07-24 |
| Find all providers in zip 98661 | ||||
| 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 |
|---|---|---|---|---|
| 1881161818 | Michelle Wolfe | Dental Assistant | A101, 1484, 14313 Ne 20th Ave, Vancouver, WA 98686 | 2018-10-29 |
| 1740670363 | Debra Jean Gibeson | Dental Assistant | 6100 Nw Cherry St, Vancouver, WA 98663-1034 | 2015-02-03 |
| 1700919990 | Katrina Gail Embree | Dental Assistant | 17401 Se 28th St, Vancouver, WA 98684-3427 | 2007-03-14 |
| 1205938529 | Beverly Jean Hart | Dental Assistant | 8500 Ne Hazel Dell Ave, Apt K12, Vancouver, WA 98665-8069 | 2006-09-05 |
| 1821632944 | Aleksandra S Velychko | Dental Assistant | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 | 2019-10-31 |
| 1346892759 | Rebecca Olmsted | Dental Assistant | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 | 2019-07-15 |
| 1447714399 | Rimma Feldeshi | Dental Assistant | 12711 Se Mill Plain Blvd, Vancouver, WA 98684-6053 | 2019-01-24 |
| 1477029908 | Lydia Kay Lyall | Dental Assistant | 12711 Se Mill Plain Blvd, Vancouver, WA 98684-6053 | 2018-10-23 |
| 1003277104 | Svetlana Anenko | Dental Assistant | 12711 Se Mill Plain Blvd, Vancouver, WA 98684-6053 | 2016-03-16 |
| 1720449937 | Renee Mcqueen | Dental Assistant | 12711 Se Mill Plain Blvd, Vancouver, WA 98684-6053 | 2016-03-15 |
| Find all providers in VANCOUVER | ||||
Please comment or provide details below to improve the information on BRANDIE HAZELTON.
| 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.