MS. NICHOLE ELIZABETH BEDFORD (NPI# 1619170412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619170412 |
| Entity Type | Individual |
| Full Name | MS. NICHOLE ELIZABETH BEDFORD |
| Credential | RDH |
| Practice Address |
300 West Ave Brockport NY 14420-1118 |
| Mailing Address |
12987 Ridge Rd W Albion NY 14411-9152 |
| Practice Telephone | 5856373905 |
| Practice Fax Number | 5856374990 |
| Mailing Telephone | 5857464677 |
| Mailing Fax Number | 5856374990 |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 024736 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00355308 | 05 |
| Street Address |
300 WEST AVE |
| City | BROCKPORT |
| State | NY |
| Zip Code | 14420-1118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790749471 | Robert William Ford | Optometrist | 300 West Ave, Oak Orchard Community Health Center, Brockport, NY 14420 | 2006-04-12 |
| 1275003659 | Kimberly Sue Walitzer | Psychologist | 300 West Ave, Brockport, NY 14420-1118 | 2018-11-28 |
| 1720599533 | Erin Elisabeth Goodrich | Dietitian, Registered | 300 West Ave, Brockport, NY 14420-1118 | 2017-10-19 |
| 1790224335 | Valerie Mostyn | Social Worker | 300 West Ave, Brockport, NY 14420-1118 | 2017-02-15 |
| 1316485378 | Christina Smith | Dental Hygienist | 300 West Ave, Brockport, NY 14420-1118 | 2017-02-09 |
| 1447606215 | Chanh Huynh | Family Medicine | 300 West Ave, Brockport, NY 14420 | 2016-05-10 |
| 1851755664 | Tammy L Cornelius | Dental Hygienist | 300 West Ave, Brockport, NY 14420-1118 | 2016-04-07 |
| 1962890608 | Katherine Ann Trawick | Dentist | 300 West Ave, Brockport, NY 14420-1118 | 2015-01-05 |
| 1336537562 | Catherine Goetz | Physician Assistant | 300 West Ave, Brockport, NY 14420-1118 | 2014-12-22 |
| 1538592258 | Kelsey Eleanor Miller | Pediatrics | 300 West Ave, Brockport, NY 14420-1118 | 2013-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194217471 | Brianna Lynn Bunch | Licensed Practical Nurse | 126 White Road, Brockport, NY 14420 | 2018-06-03 |
| 1174012785 | Penny Bowers | Massage Therapist | 27 Market Street, Upstairs, Brockport, NY 14420 | 2018-05-09 |
| 1386172062 | Allison Manly | Dentist | 1000 Transit Way, Brockport, NY 14420 | 2017-05-25 |
| 1235518143 | Erin B Chapman | Physical Medicine & Rehabilitation | 350 New Campus Drive, Brockport, NY 14420 | 2015-05-26 |
| 1972853653 | Theresa Fox Lehman | Specialist | 32 Mission Hill Drive, Brockport, NY 14420 | 2012-09-11 |
| 1689946303 | Beverly Whiteman | Registered Nurse | 40 Allen St., Brockport, NY 14420 | 2012-01-27 |
| 1316217425 | Julie Ann Knapp | Registered Nurse | 40 Allen Street, Brockport Central School District, Brockport, NY 14420 | 2012-01-05 |
| 1851678965 | Jennifer Anne Cohen | Registered Nurse | 188 Utica Street, Brockport, NY 14420 | 2011-11-03 |
| 1205088960 | Amy Maureen Hennessy | Obstetrics & Gynecology | 6668 Fourth Section Rd Ste 500, Brockport, NY 14420 | 2008-10-14 |
| 1053454884 | Nancy S Iafrati | Nurse Practitioner | Suny Brockport Student Health Center, 350 New Campus Drive, Brockport, NY 14420 | 2007-02-14 |
| Find all providers in zip 14420 | ||||
| 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 |
|---|---|---|---|---|
| 1316485378 | Christina Smith | Dental Hygienist | 300 West Ave, Brockport, NY 14420-1118 | 2017-02-09 |
| 1851755664 | Tammy L Cornelius | Dental Hygienist | 300 West Ave, Brockport, NY 14420-1118 | 2016-04-07 |
| 1821341314 | Linda Ranalletti | Dental Hygienist | 300 West Ave, Brockport, NY 14420-1118 | 2012-10-21 |
| 1164775722 | Lynne M Philipps | Dental Hygienist | 300 West Ave, Brockport, NY 14420-1118 | 2012-10-19 |
| 1922320647 | Deborah E Mostyn | Dental Hygienist | 300 West Ave, Brockport, NY 14420-1118 | 2010-02-22 |
| 1700110897 | Wendy Nupp | Dental Hygienist | 300 West Ave, Brockport, NY 14420-1118 | 2009-09-23 |
| 1346479896 | Terry N. Russell | Dental Hygienist | 300 West Ave, Brockport, NY 14420-1118 | 2009-07-06 |
| 1689829855 | Miranda M Schult | Dental Hygienist | 300 West Ave, Brockport, NY 14420-1118 | 2008-12-01 |
| 1588739775 | Lisa Devalder | Dental Hygienist | 300 West Ave, Brockport, NY 14420-1118 | 2006-11-22 |
| 1629142740 | Melessa Chatt | Dental Hygienist | 300 West Ave, Brockport, NY 14420-1118 | 2006-11-20 |
| Find all providers in BROCKPORT | ||||
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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.