KELLI JEAN MCDONALD (NPI# 1699396952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699396952 |
| Entity Type | Individual |
| Full Name | KELLI JEAN MCDONALD |
| Other Name | KELLI JEAN HANKS |
| Practice Address |
1667 Cochrane Cir Bldg 7495 Fort Carson CO 80913-4603 |
| Practice Telephone | 7195265537 |
| Mailing Telephone | 7195265537 |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2020-04-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972992519 | Kelli Mcdonald | Registered Nurse | 826 E Bridge St, Wausau, WI 54403-3619 | 2015-01-20 |
| Street Address |
1667 COCHRANE CIR BLDG 7495 |
| City | FORT CARSON |
| State | CO |
| Zip Code | 80913-4603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658707 | Tossha Renee Ann Elder | Dental Assistant | 1667 Cochrane Cir Bldg 7495, Fort Carson, CO 80913-4603 | 2020-10-27 |
| 1295335560 | Elizabeth Ross Conger | Dental Assistant | 1667 Cochrane Cir Bldg 7495, Fort Carson, CO 80913-4603 | 2020-10-27 |
| 1548874274 | Zachary Jacob Jackson | Dentist | 1667 Cochrane Cir Bldg 7495, Fort Carson, CO 80913-4603 | 2020-09-01 |
| 1053923128 | Chase Stone Van Gorp | Dentist | 1667 Cochrane Cir Bldg 7495, Fort Carson, CO 80913-4603 | 2020-08-20 |
| 1992315964 | Talisha Lewis-wooden | Dental Assistant | 1667 Cochrane Cir Bldg 7495, Fort Carson, CO 80913-4603 | 2020-08-05 |
| 1407466469 | Kayla Khadu | Dental Assistant | 1667 Cochrane Cir Bldg 7495, Fort Carson, CO 80913-4603 | 2020-08-05 |
| 1235749441 | David Benjamin Levy | Dentist | 1667 Cochrane Cir Bldg 7495, Fort Carson, CO 80913-4603 | 2020-08-03 |
| 1174133417 | Christopher Andrew Henry | Dentist | 1667 Cochrane Cir Bldg 7495, Fort Carson, CO 80913-4603 | 2020-08-02 |
| 1275142705 | Frederick Benton Drummond | Dentist | 1667 Cochrane Cir Bldg 7495, Fort Carson, CO 80913-4603 | 2020-07-30 |
| 1245849991 | Lindsay Michelle Hardin | Dental Assistant | 1667 Cochrane Cir Bldg 7495, Fort Carson, CO 80913-4603 | 2020-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326651498 | Christopher M Juneau | Physical Therapist | Us Air Force/ Fort Carson, 8420 Skyraider Rd, Colorado Springs, AA 80913 | 2020-08-28 |
| 1003433640 | Denise Marie Cacho | Dentist | Smith Dental Clinic, 2280 Hogan St. Blgd 1561, Fort Carson, CO 80913 | 2020-06-30 |
| 1497378053 | Ivan Sergeyevich Koutsopatriy | Dentist | Us Army Dental Health Activity 1667 Cochrane Circle, Bldg 7495, Fort Carson, CO 80913 | 2020-05-18 |
| 1396293478 | Kayla Howerton | Audiologist | 8901 Wetzel Ave, Bldg 1525, Fort Carson, CO 80913 | 2016-09-16 |
| 1922472125 | Danell Pugh | Social Worker | Bldg 1657, Fort Carson, CO 80913 | 2015-11-25 |
| 1750761136 | Colin Michael Kenny | Internal Medicine | Evans Army Community Hospital. 1650 Cochrane Cir B7500, Fort Carson, CO 80913 | 2015-06-01 |
| 1740689736 | Rachel Edwards | Speech-Language Pathologist | Evans Community Hospital, 1650 Cochrane Circle, Fort Carson, CO 80913 | 2014-08-15 |
| 1841617859 | Douglas Foote | Social Worker | 1657 Prussman, Ft. Carson, CO 80913 | 2014-03-27 |
| 1649619396 | Brigette Marie Grimes | Dietitian, Registered | Building 1435, 4th Infantry Division, Division Surgeon, Fort Carson, CO 80913 | 2013-06-17 |
| 1467895318 | Evans Army Community Hospital | Clinic/Center | Bldg 2361 Titus Blvd, Ft Carson, CO 80913 | 2013-04-10 |
| Find all providers in zip 80913 | ||||
| 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 |
|---|---|---|---|---|
| 1053887257 | Lorena Zasati | Dental Hygienist | 1631 Wetzel Ave Bldg 815, Fort Carson, CO 80913-4095 | 2018-10-16 |
| 1841704947 | Robin Laine Keller | Dental Hygienist | 1631 Wetzel Ave Bldg 815, Fort Carson, CO 80913-4095 | 2017-11-28 |
| 1750895918 | Linda Sue Coffey | Dental Hygienist | 1631 Wetzel Ave Bldg 815, Fort Carson, CO 80913-4095 | 2017-11-27 |
| 1992244610 | Kathryn Alice Cerar | Dental Hygienist | 1631 Wetzel Ave, Bldg 815, Fort Carson, CO 80913-4095 | 2017-02-14 |
| 1164872909 | Mary Patricia Ritza | Dental Hygienist | 1631 Wetzel Ave Bldg 815, Fort Carson, CO 80913-4095 | 2016-06-13 |
| 1386034015 | Sonya D Gooding | Dental Hygienist | 1631 Wetzel Ave, Bldg 815, Fort Carson, CO 80913-4095 | 2015-02-03 |
| 1538567896 | Dana Marie Gillette | Dental Hygienist | 1631 Wetzel Ave, Bldg 815, Fort Carson, CO 80913-4095 | 2014-12-18 |
| 1124442926 | Kimberl;yn Joy Sickler | Dental Hygienist | 1631 Wetzel Ave Bldg 815, Fort Carson, CO 80913-4095 | 2014-02-13 |
| 1083053961 | Christine Marie Swanberg | Dental Hygienist | 1631 Wetzel Ave, Bldg 815, Fort Carson, CO 80913-4095 | 2013-06-24 |
| 1568708014 | Lynette Eilene Backman | Dental Hygienist | 1631 Wetzel Ave, Bldg 815, Fort Carson, CO 80913-4095 | 2013-01-02 |
| Find all providers in FORT CARSON | ||||
| City | FORT CARSON |
| Zip Code | 80913 |
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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.