KAITLIN SIEWERT


Address: 520 Main Street, Hawley, MN 56549
Phone: 2184831038

KAITLIN SIEWERT (NPI# 1548631187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548631187
Entity Type Individual
Full Name KAITLIN SIEWERT
Practice Address 520 Main Street
Hawley
MN 56549
Mailing Address Po Box 849
Hawley
MN 56549
Practice Telephone 2184831038
Practice Fax Number 2184831339
Mailing Telephone 2184831038
Mailing Fax Number 2184831339
Enumeration Date 2015-10-08
Last Update Date 2018-10-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 125K00000X Advanced Practice Dental Therapist DT60 MN Dental Providers

Office Location

Street Address 520 MAIN STREET
City HAWLEY
State MN
Zip Code 56549

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265495899 Daniel Allen Boedigheimer Dentist 520 Main Street, Hawley, MN 56549-0849 2006-04-06
1831458504 Nicole Jean Reardon Dentist 520 Main Street, Hawley, MN 56549-0849 2012-05-15
1790990968 Mobilityplus Rehabilitation, Ltd Occupational Therapist 520 Main Street, Hawley, MN 56549 2007-05-11
1346301454 Apple Tree Dental Dentist 520 Main Street, Hawley, MN 56549-0849 2006-12-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528146941 Independent School District 150 Local Education Agency (LEA) 714 Joseph St, Hawley, MN 56549 2006-11-02
1679599864 Harold J Herbst Physician Assistant 1412 Main Street, Hawley, MN 56549 2006-07-14
1063463966 David A Vogt Family Medicine 1412 Main St, Hawley, MN 56549 2006-05-15
1285695783 Lakes Region Artificial Limb and Brace Company Inc Durable Medical Equipment & Medical Supplies 710 Valley St, Hawley, MN 56549 2006-04-01
1619537982 Bailey Goolsbey Physical Therapy Assistant 520 Main St, Hawley, MN 56549 2019-06-18
1053802785 Garrett Allen Skonseng Dentist 520 Main St., Hawley, MN 56549 2018-05-29
1174014526 Emily M Frosaker Dentist 520 Main St., Hawley, MN 56549 2018-05-22
1609387760 Amber Hakk Physical Therapist 520 Main St., Hawley, MN 56549 2017-10-17
1518488071 Carrie Lynne Holt Nurse Practitioner 1412 Main Street, Hawley, MN 56549 2017-07-05
1871976175 Hawley Family Dentisrty Clinic/Center 500 6th St, Hawley, MN 56549 2015-07-06
Find all providers in zip 56549

Taxonomy Information

Taxonomy Code 125K00000X
Grouping Dental Providers
Classification Advanced Practice Dental Therapist

Taxonomy Definition

An Advanced Practice Dental Therapist is:
(1) A dental therapist who has completed additional training beyond basic dental therapy education and provides dental services in accordance with state advanced practice dental therapist laws or statutes; or
(2) A dental hygienist with a graduate degree in advanced dental therapy prepared for independent and interdependent decision making and direct accountability for clinical judgment across the dental health care continuum.

The individual has been authorized by the relevant state board or a tribal entity to provide services under the remote supervision of a dentist. The functions of the advanced practice dental therapist vary based on the needs of the dentist, the educational preparation of the advanced practice dental therapist and state dental practice acts and regulations.
Notes: Source: Summarized from Minnesota Statute 150A.106. [7/1/2012: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1578117438 Christina Marie Hubred Advanced Practice Dental Therapist Miskovich Dental Clinic, 1121 Se 4th Avenue, Grand Rapids, MN 55744 2019-07-30
1144733130 Lydia J Diekmann Advanced Practice Dental Therapist 2711 Broadway Ave Ste A00, Slayton, MN 56172-1313 2017-11-13
1073872503 Brieanne Kelsey Borntrager Advanced Practice Dental Therapist 13899 Hwy 13 S Frnt Rd, Savage, MN 55378-2135 2012-05-03
1023541695 Carley Banks Advanced Practice Dental Therapist 1575 20th St Nw, Faribault, MN 55021 2017-04-10
1033642947 Lauren Johnson Advanced Practice Dental Therapist 1575 20th St Nw, Suite 102, Faribault, MN 55021-2930 2017-04-07
1063953032 Ashley Hueman Advanced Practice Dental Therapist 973 Skyline Dr Sw, Rochester, MN 55902-1220 2017-03-10
1124483656 Tanu Dhoopar Advanced Practice Dental Therapist 3152 Minnehaha Ave, Minneapolis, MN 55406-1934 2015-12-29

Competitor

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City HAWLEY
Zip Code 56549

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Dataset Information

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.

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