MRS. KELLY ANN GROSS (NPI# 1720543192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720543192 |
| Entity Type | Individual |
| Full Name | MRS. KELLY ANN GROSS |
| Credential | RDH |
| Practice Address |
6001 Walden Dr Knoxville TN 37919-6355 |
| Mailing Address |
1110 Vale View Rd Knoxville TN 37922-5998 |
| Practice Telephone | 8655881294 |
| Practice Fax Number | 8655887708 |
| Mailing Telephone | 8656709996 |
| Enumeration Date | 2019-02-09 |
| Last Update Date | 2019-02-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 2651 | TN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619580131 | Kelly Michelle Gross | In Home Supportive Care | 514 County Road 39, Bloomingdale, OH 43910-7955 | 2020-08-25 |
| 1487141172 | Kelly Gross | Social Worker | 1229 Lincoln Hwy, Van Wert, OH 45891-1877 | 2018-04-18 |
| 1487104568 | Kelly Gross | Nurse Practitioner | 3400 Spruce St, 5 Rhoads, Philadelphia, PA 19104-4238 | 2016-10-12 |
| 1740537778 | Kelly Gross | Specialist | 127 Bloomingrove Dr, Troy, NY 12180-8404 | 2012-08-09 |
| Street Address |
6001 WALDEN DR |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37919-6355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639282619 | Ruth E Bailey | Dentist | 6001 Walden Dr, Suite 1, Knoxville, TN 37919-6338 | 2006-08-16 |
| 1205035219 | Bennett Martin Kizer | Dentist | 6001 Walden Dr, Suite 1, Knoxville, TN 37919-6355 | 2007-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099188 | Edp Biotech Corporation | Clinical Medical Laboratory | 6701 Baum Dr, Suite 110, Knoxville, TN 37919 | 2020-09-29 |
| 1649836248 | Jessica Diane Moody | Counselor | 6070 Lyons View Pike, Knoxville, TN 37919 | 2019-05-20 |
| 1952802571 | Maisie Drew Buckner | Physical Therapist | 301 S Gallaher View Rd Ste 105, Knoxville, TN 37919 | 2018-02-28 |
| 1992217400 | Jay S. Desvaux, D.d.s. | Dentist | 6311 Kingston Pike #27w, Knoxville, TN 37919 | 2017-10-25 |
| 1346768975 | Marilyn Lee | Occupational Therapist | 7014 Lawford Road, Knoxville, TN 37919 | 2017-09-04 |
| 1558884254 | Jck Holdings LLC | Family Medicine | 2270 Sutherland Avenue, Knoxville, TN 37919 | 2017-07-25 |
| 1295255503 | Emily M King | Marriage & Family Therapist | 131 N. Concord St, Knoxville, TN 37919 | 2017-06-27 |
| 1487105128 | Kathleen Rachelle Matteson | Physician Assistant | 2461 University Commons Way, Knoxville, TN 37919 | 2016-10-18 |
| 1689046161 | Meagan Lynn Ogunrinde | Registered Nurse | 265 Brockview Centre Way, Suite 400, Knoxville, TN 37919 | 2015-10-23 |
| 1720467624 | Chizoba Ngesina | Emergency Medicine | Teamhealth, 265 Brookview Centre Way Suite 400, Knoxville, TN 37919 | 2015-05-26 |
| Find all providers in zip 37919 | ||||
| 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 |
|---|---|---|---|---|
| 1134447436 | Iryna N Pasco | Dental Hygienist | 6311 Kingston Pike Ste 8w, Knoxville, TN 37919-4906 | 2010-05-11 |
| 1497373880 | Melinda Lou Willocks | Dental Hygienist | 1930 Alcoa Hwy Ste 340, Knoxville, TN 37920-1585 | 2020-07-11 |
| 1619518388 | Lorie Diane Turner | Dental Hygienist | 4714 Papermill Dr, Knoxville, TN 37909-1972 | 2019-10-03 |
| 1508041526 | Norma Eugenia P Delany | Dental Hygienist | 6311 Kingston Pike, Suite 8w, Knoxville, TN 37919-4906 | 2008-01-09 |
| 1932317914 | Tara Michelle Bolt-mccall | Dental Hygienist | 323 Fox Rd, Suite 200, Knoxville, TN 37922-3383 | 2007-05-21 |
| 1447467782 | Jessica Renee Wilson Carson | Dental Hygienist | 323 Fox Rd, Suite 200, Knoxville, TN 37922-3383 | 2007-05-17 |
| 1629282215 | Marlenia Bolt James | Dental Hygienist | 323 Fox Rd, Suite 200, Knoxville, TN 37922-3383 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003441023 | Lori Denise Higgins | Dental Hygienist | 140 John C Breckenridge Cv, Adamsville, TN 38310-5066 | 2020-03-10 |
| 1669011805 | Kimbra W Humerickhouse | Dental Hygienist | 875 Union Ave # C517, Memphis, TN 38103-3513 | 2020-01-06 |
| 1982243085 | Felisa Loyd Jackson | Dental Hygienist | 875 Union Ave Rm C402, Memphis, TN 38103-3513 | 2020-01-06 |
| 1124667530 | Rachel Elizabeth Hamilton | Dental Hygienist | 875 Union Ave Ste C402, Memphis, TN 38103-3513 | 2020-01-02 |
| 1780223271 | Michelle D. Miles | Dental Hygienist | 875 Union Ave # N502, Memphis, TN 38103-3513 | 2019-12-31 |
| 1063051654 | Brittany Bryson | Dental Hygienist | 6500 Stage Rd Ste 1, Bartlett, TN 38134-2882 | 2019-12-30 |
| 1033758792 | Amy E Galyen | Dental Hygienist | 5565 Murray Ave Ste 101, Memphis, TN 38119-3828 | 2019-12-29 |
| 1700429826 | Mikiala Chae Wells | Dental Hygienist | 1647 E Stone Dr, Kingsport, TN 37660-4609 | 2019-10-21 |
| 1861041097 | Kashaundra Atkinson | Dental Hygienist | 4515 Poplar Ave Ste 406, Memphis, TN 38117-7508 | 2019-09-10 |
| 1396399135 | Jessi Alyssa Dellinger | Dental Hygienist | 303 Allendale Lane, Sevierville, TN 37876 | 2019-07-30 |
| Find all providers with the same taxonomy | ||||
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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.