MRS. SANDRA L KELLY (NPI# 1629591284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629591284 |
| Entity Type | Individual |
| Full Name | MRS. SANDRA L KELLY |
| Credential | RDH |
| Practice Address |
1 Boone Rd Bremerton WA 98312-1894 |
| Practice Telephone | (360) 476-2211 |
| Mailing Telephone | 3604762211 |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2017-07-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 00005450 | WA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417175225 | Sandra Rae Kelly | Dietitian, Registered | 10006 Maple Cir, Bloomington, MN 55431-2870 | 2007-04-24 |
| 1396103016 | Sandra Kay Kelly | Nurse Practitioner | 300 North Ave, Battle Creek, MI 49017-3307 | 2016-02-09 |
| 1447699095 | Sandra C Kelly | Specialist | 40 W Mosholu Pkwy S, Bronx, NY 10468-1150 | 2013-06-17 |
| 1679843254 | Sandra Lynne-walker Kelly | Registered Nurse | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2012-01-12 |
| 1699052415 | Sandra Kelly | Physician Assistant | 320 Franklin Ave, Franklin Square, NY 11010 | 2011-11-08 |
| 1073753877 | Sandra L Kelly | Social Worker | 400 Amity St, Amherst, MA 01002-2241 | 2009-03-06 |
| 1275666406 | Sandra C Kelly | Social Worker | 775 Park Ave, Suite 1110, Huntington, NY 11743-3976 | 2007-03-14 |
| 1669410494 | Sandra Mackay Kelly | Nurse Practitioner | 41 Montvale Ave, Stoneham, MA 02180-2445 | 2006-06-03 |
| Street Address |
1 BOONE RD |
| City | BREMERTON |
| State | WA |
| Zip Code | 98312-1894 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104829548 | Jeffrey Steven Martens | Pediatrics | 1 Boone Rd, Bremerton, WA 98312-1894 | 2005-05-31 |
| 1871106039 | Matthew Raymond Wasilewski | Dentist | 1 Boone Rd, Bremerton, WA 98312-1898 | 2020-08-27 |
| 1124637269 | Jason D Balazs | Nurse Anesthetist, Certified Registered | 1 Boone Rd, Bremerton, WA 98312-1894 | 2020-07-24 |
| 1649893769 | Joy Marie Abonitalla Bautista | Registered Nurse | 1 Boone Rd, Bremerton, WA 98312-1894 | 2020-05-22 |
| 1710511027 | Brad Levi Okeefe | Nurse Practitioner | 1 Boone Rd, Bremerton, WA 98312-1898 | 2020-02-25 |
| 1659914091 | Caitlin Sleight | Psychologist | 1 Boone Rd, Bremerton, WA 98312-1894 | 2019-10-17 |
| 1477194603 | Nicholas Kovacevic | Dentist | 1 Boone Rd, Bremerton, WA 98312-1894 | 2019-09-29 |
| 1023576295 | Jennifer Danielle Squazza | Advanced Practice Midwife | 1 Boone Rd, Bremerton, WA 98312-1898 | 2019-03-06 |
| 1538654348 | Ashley Simpson | Dentist | 1 Boone Rd, Bremerton, WA 98312-1898 | 2018-06-25 |
| 1619481280 | Victor Roger Chu | Pharmacist | 1 Boone Rd, Bremerton, WA 98312-1894 | 2017-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962025114 | Candace Mckenzie | Counselor | 2564 Cascades Pass Blvd, The Landings Bldg. 779, Bremerton, WA 98312 | 2020-05-22 |
| 1710473590 | Sandra Louise Walker | Family Medicine | 14301 Nw Coho Run, Bremerton, WA 98312 | 2018-07-05 |
| 1467947663 | Jason David Alexander | Military Health Care Provider | Uss Kentucky, Ssbn, Fpo, AE 98312 | 2018-06-29 |
| 1588176614 | Institute Family for Development | Community/Behavioral Health | 5610 Kitsap Way, Suite 315, Bremerton, WA 98312 | 2017-10-30 |
| 1720521321 | Debra Lynn Lemieux | Counselor | 5762 Chico Way Nw, Bremerton, WA 98312 | 2016-11-30 |
| 1164840047 | Amber Rose Morison | Chiropractor | 3963 Sand Dollar Road West, Bremerton, WA 98312 | 2014-03-28 |
| 1942625611 | Kristen Williams | Clinic/Center | 5112 Nw Taylor Rd., Bremerton, WA 98312 | 2014-03-04 |
| 1184049629 | Tariku Tsegaye Messele | Specialist/Technologist | 5112 Nw Taylor Road, Bremerton, WA 98312 | 2014-02-20 |
| 1063784064 | Johnson Chiropractic Clinic | Clinic/Center | 3721 Kitsap Way Suite #8, Bremerton, WA 98312 | 2012-02-06 |
| 1194013532 | Casey Mccann | Student in an Organized Health Care Education/Training Program | 1 Boone Rd., Naval Hospital Bremerton, Bremerton, WA 98312 | 2011-07-19 |
| Find all providers in zip 98312 | ||||
| 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 |
|---|---|---|---|---|
| 1922621929 | Rebecca Rose | Dental Hygienist | 4532 Dyes Inlet Rd Nw, Bremerton, WA 98312-1410 | 2020-05-26 |
| 1114418027 | Beverly Sue Frye | Dental Hygienist | 2106 E Phinney Bay Dr, Bremerton, WA 98312-2732 | 2018-05-25 |
| 1275064347 | James Aurandt | Dental Hygienist | 1991 Ne Trussel Ct, Bremerton, WA 98311-3710 | 2017-03-21 |
| 1003227935 | Cascade Hygiene | Dental Hygienist | 3709 Nw 29th St, Bremerton, WA 98312-1966 | 2014-05-14 |
| 1679195655 | Christina Dick | Dental Hygienist | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2020-05-12 |
| 1487172839 | Ana Karina Garcia De Dios | Dental Hygienist | 1 Boone Rd, Bremerton, WA 98312-1894 | 2017-09-06 |
| 1740708254 | David Alan Brisbon | Dental Hygienist | 1 Boone Rd, Bremerton, WA 98312-1894 | 2017-09-05 |
| 1356864052 | Maryetta Houghton | Dental Hygienist | 1 Boone Road, Bremerton, WA 98312-1898 | 2017-07-25 |
| 1497278576 | John Andrew Dyjak | Dental Hygienist | 1 Boone Rd, Bremerton, WA 98312-1894 | 2017-07-20 |
| 1346763513 | Heidi Kitley | Dental Hygienist | 1 Boone Rd, Bremerton, WA 98312-1894 | 2017-07-19 |
| Find all providers in BREMERTON | ||||
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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.