KAITLIN SIEWERT (NPI# 1548631187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 125K00000X | Advanced Practice Dental Therapist | DT60 | MN | Dental Providers |
Street Address |
520 MAIN STREET |
City | HAWLEY |
State | MN |
Zip Code | 56549 |
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 |
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 Code | 125K00000X |
Grouping | Dental Providers |
Classification | Advanced Practice Dental Therapist |
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] |
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 |
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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.