SANDY GAIL PENNER (NPI# 1700393998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700393998 |
| Entity Type | Individual |
| Full Name | SANDY GAIL PENNER |
| Other Name | SANDY GAIL MACHOLL |
| Credential | RDH |
| Practice Address |
550 E Washington Blvd Crescent City CA 95531-8160 |
| Mailing Address |
670 9th St Ste 203 Arcata CA 95521-6249 |
| Practice Telephone | 7074654636 |
| Practice Fax Number | 7074656070 |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2018-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 31737 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578663977 | Sandy Jay Penner | Nurse Anesthetist, Certified Registered | 429 West Elm Street., Hobart, OK 73651 | 2006-09-25 |
| Street Address |
550 E WASHINGTON BLVD |
| City | CRESCENT CITY |
| State | CA |
| Zip Code | 95531-8160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639176589 | Frederick Mayer | Podiatrist | 550 E Washington Blvd, Crescent City, CA 95531-8160 | 2005-07-07 |
| 1538634423 | Thomas B. Kelem | Marriage & Family Therapist | 550 E Washington Blvd, Crescent City, CA 95531-8160 | 2018-10-08 |
| 1316435050 | Susan Waddell | Registered Nurse | 550 E Washington Blvd, Crescent City, CA 95531-8160 | 2018-04-27 |
| 1609372721 | Heather J Payne | Registered Nurse | 550 E Washington Blvd, Crescent City, CA 95531-8160 | 2018-04-05 |
| 1033620315 | Daniel Richard Lefler | Physician Assistant | 550 E Washington Blvd, Crescent City, CA 95531-8160 | 2017-10-13 |
| 1851828966 | Kay Vail | Registered Nurse | 550 E Washington Blvd, Crescent City, CA 95531-8160 | 2017-05-19 |
| 1356885446 | Denise Byassee Jeffrey | Registered Nurse | 550 E Washington Blvd, Crescent City, CA 95531-8160 | 2016-12-08 |
| 1033660626 | Heather Naomi Gail Hogan | Registered Nurse | 550 E Washington Blvd, Crescent City, CA 95531-8160 | 2016-10-18 |
| 1427503796 | Melody Pope | Nurse Practitioner | 550 E Washington Blvd, Crescent City, CA 95531-8160 | 2016-08-16 |
| 1770935405 | Assal Aslani | Dentist | 550 E Washington Blvd, Crescent City, CA 95531-8160 | 2016-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548725237 | John Michael Horner | Counselor | 455 Kst, Crescent City, CA 95531 | 2019-02-06 |
| 1245716943 | Tonya Shantel Escobar | Registered Nurse | 1301b Northcrest Drive #13, Crescent City, CA 95531 | 2018-07-16 |
| 1679019319 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 657 Hwy 101 N, Crescent City, CA 95531 | 2017-01-18 |
| 1063969558 | Darrick Stewart Roach | Massage Therapist | 1225 Marshall St., 18, Crescent City, CA 95531 | 2016-09-01 |
| 1447638044 | Yelena Zaitseva Lavender | Counselor | 455 K Street, Crescent City, CA 95531 | 2015-05-14 |
| 1942630421 | Kamilia Ann Schnacker | Counselor | 370 9th Street, Crescent City, CA 95531 | 2013-11-19 |
| 1881906261 | Peter Allen Brown | Psychologist | 505 H Street, Crescent City, CA 95531 | 2010-07-13 |
| 1700119385 | Remi Vista Services for Probation Youth | Community/Behavioral Health | 206 Williams Dr # 2, Crescent City, CA 95531 | 2009-09-14 |
| 1982862538 | Joshua Thomas Matson | Chiropractor | 550 E Washington Blvd Ste 100, Crescent City, CA 95531 | 2008-05-30 |
| 1902076250 | County of Del Norte | Community/Behavioral Health | 1125 Burtschell, Crescent City, CA 95531 | 2008-03-03 |
| Find all providers in zip 95531 | ||||
| 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 |
|---|---|---|---|---|
| 1962830844 | Amelia Hutchings | Dental Hygienist | 550 E Washington Blvd, Crescent City, CA 95531-8160 | 2013-10-31 |
| 1376780072 | Nancy Newman | Dental Hygienist | 550 E Washington Blvd, Suite 100, Crescent City, CA 95531-8160 | 2009-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841046 | Betty Satomi Fukumoto | Dental Hygienist | 16008 S Manhattan Pl, Gardena, CA 90247-3681 | 2020-11-08 |
| 1417558180 | Maria Antonette De Lara Kim | Dental Hygienist | 66 S San Gorgonio Ave Ste 5, Banning, CA 92220-6020 | 2020-11-07 |
| 1083215982 | Sokbunntha Yan | Dental Hygienist | 5810 Fidler Ave, Lakewood, CA 90712-1251 | 2020-11-06 |
| 1649871914 | Maryam Ghahramani Shahneshin | Dental Hygienist | 1961 Grove Pl, Escondido, CA 92027-4101 | 2020-11-04 |
| 1285234047 | Maryann Detar | Dental Hygienist | 3154 Alum Rock Ave, San Jose, CA 95127-2903 | 2020-10-29 |
| 1194325597 | Connie Lim Good | Dental Hygienist | 14th Street Bldg 13128, Oceanside, CA 92055 | 2020-10-27 |
| 1336748896 | Cynthia Garcia Macdougall | Dental Hygienist | 444 Hermosa Ave Apt 302, Hermosa Beach, CA 90254-4433 | 2020-10-25 |
| 1346849163 | Ambrosia Evon Steljes | Dental Hygienist | Building 13128 14th Street, Camp Pendleton, CA 92055-5221 | 2020-10-22 |
| 1427657261 | Julie Lynn March | Dental Hygienist | 19871 Mitscher Way Bldg 2495, San Diego, CA 92145-5103 | 2020-10-22 |
| 1386243327 | Leticia Isabel Alcantar | Dental Hygienist | Bldg 520448, Camp Pendleton, CA 92055 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | CRESCENT CITY |
| Zip Code | 95531 |
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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.