MICKI STAFKO-DOUGLASS (NPI# 1609239714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609239714 |
Entity Type | Individual |
Full Name | MICKI STAFKO-DOUGLASS |
Credential | RDH |
Practice Address |
745 Russell St Craig CO 81625-2019 |
Practice Telephone | 9708248233 |
Mailing Telephone | 9708248233 |
Enumeration Date | 2016-04-05 |
Last Update Date | 2016-04-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | DH.002023726 | CO | Dental Providers |
Street Address |
745 RUSSELL ST |
City | CRAIG |
State | CO |
Zip Code | 81625-2019 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225170996 | Ann T Irvin | Registered Nurse | 745 Russell St, Nwcvna Craig Moffat County Rio Blanco Co, Craig, CO 81625 | 2007-02-12 |
1043724164 | Annie Sadvar | Dental Hygienist | 745 Russell St, Craig, CO 81625-2019 | 2017-11-28 |
1033642152 | Olivia Scheele | Registered Nurse | 745 Russell St, Craig, CO 81625-2019 | 2017-04-05 |
1669910881 | Joshua Holm | Registered Nurse | 745 Russell St, Craig, CO 81625-2019 | 2017-02-08 |
1003291691 | April Anthony | Registered Nurse | 745 Russell St, Craig, CO 81625-2019 | 2015-07-23 |
1831476233 | Julia Catherine Von Allmen | Physician Assistant | 745 Russell St, Craig, CO 81625-2019 | 2011-11-14 |
1063663292 | Northwest Colorado Visting Nurse Association | Clinic/Center | 745 Russell St, Craig, CO 81625-2019 | 2008-10-07 |
1023277563 | Northwest Co Visiting Nurse Ass | Public Health or Welfare | 745 Russell St, Craig, CO 81625-2019 | 2008-06-09 |
1649494287 | Jean Carol Jones | Registered Nurse | 745 Russell St, Craig, CO 81625 | 2007-04-13 |
1649300252 | Robbie Lee Frentress | Registered Nurse | 745 Russell St, Craig, CO 81625 | 2007-03-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619446481 | County of Moffat | Emergency Medical Technician, Paramedic | 221 W. Victory Way, Suite 130, Craig, CO 81625 | 2018-11-21 |
1912374703 | Shannon Mayes | Registered Nurse | 745 Russell Street, Craig, CO 81625 | 2015-08-27 |
1407267628 | A & S Counseling | Social Worker | 401 Russell Street, Craig, CO 81625 | 2014-05-09 |
1356687727 | Joanne Mattio Snow | Social Worker | 11 W. Victory Way, Suite 209, Craig, CO 81625 | 2012-12-12 |
1205163409 | Aerocare Holdings, Inc. | Durable Medical Equipment & Medical Supplies | 512 Yampa Ave, Craig, CO 81625 | 2009-11-09 |
1124213665 | Steven Paul Walls | Counselor | 11 West Victory Way, Suite# 209, Craig, CO 81625 | 2007-09-07 |
1225170970 | Brittany Corrine Doolin | Registered Nurse | 745 Russel St, Craig, CO 81625 | 2007-02-12 |
1578644175 | Northwest Colorado Dental Coalition | Clinic/Center | 485 Yampa Avenue, Craig, CO 81625 | 2006-10-18 |
1962438218 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 505 W Victory Way, Craig, CO 81625 | 2006-06-25 |
1265491971 | Wendy Ann Nadolny | Social Worker | 11 W Victory Way Ste 203, Craig, CO 81625 | 2006-03-21 |
Find all providers in zip 81625 |
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 |
---|---|---|---|---|
1851612840 | Tammy Cairns | Dental Hygienist | 2192 Willow St, Craig, CO 81625-3745 | 2010-06-14 |
1750865572 | Lorena Rodriguez | Dental Hygienist | 485 Yampa Ave, Craig, CO 81625-2609 | 2018-09-18 |
1043724164 | Annie Sadvar | Dental Hygienist | 745 Russell St, Craig, CO 81625-2019 | 2017-11-28 |
1356713713 | Malea Johnson | Dental Hygienist | 485 Yampa Ave, Craig, CO 81625-2609 | 2015-10-26 |
1255716312 | Cindee Clark | Dental Hygienist | 485 Yampa Ave, Craig, CO 81625-2609 | 2015-07-29 |
1285853200 | Lyndi Kaye Mcdermott | Dental Hygienist | 485 Yampa Ave, Craig, CO 81625-2609 | 2007-04-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194326900 | Kassidee N Ficken | Dental Hygienist | 6671 Highway 36, Joes, CO 80822 | 2020-11-06 |
1932708302 | Andrea Viger | Dental Hygienist | 4167 Clifton Ct, Boulder, CO 80301-1712 | 2020-10-18 |
1841803657 | Tanara Dawn Block | Dental Hygienist | 1325 Hover St Ste 201, Longmont, CO 80501-3176 | 2020-08-31 |
1750993150 | Holly Delana Julch | Dental Hygienist | 2837 Federal Blvd, Denver, CO 80211-4117 | 2020-08-18 |
1841801032 | Ashley Lindsey | Dental Hygienist | 87 Merchant Dr # Usa, Montrose, CO 81401-3015 | 2020-08-12 |
1245849256 | Manish Tomar | Dental Hygienist | 4562 E Dartmouth Ave, Denver, CO 80222-6732 | 2020-07-26 |
1962028464 | Sarah Jane Tanner | Dental Hygienist | 1190 Everett Ct, Lakewood, CO 80215-4829 | 2020-06-19 |
1578186060 | Lacie Overman | Dental Hygienist | 360 Peak One Dr # 100, Frisco, CO 80443-5948 | 2020-05-19 |
1811518095 | Victoria Lynn Wilk | Dental Hygienist | 10186 Highland Meadow Cir Apt 33-205, Parker, CO 80134-9481 | 2020-04-29 |
1912526351 | Janet Karen Madrid | Dental Hygienist | 4023 Stampede Dr, Castle Rock, CO 80104-7849 | 2020-04-15 |
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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.