NICHOLE FERNANDES (NPI# 1740697424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740697424 |
| Entity Type | Individual |
| Full Name | NICHOLE FERNANDES |
| Credential | DENTAL HYGIENIST |
| Practice Address |
755 Scott Cir Jbphh HI 96853-5399 |
| Mailing Address |
1993 Aamaka Pl Pearl City HI 96782-1302 |
| Practice Telephone | 8084486371 |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2014-07-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 1493 | HI | Dental Providers |
| Street Address |
755 SCOTT CIR |
| City | JBPHH |
| State | HI |
| Zip Code | 96853-5399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306460720 | Caroline Yong Glover | Nurse Practitioner | 755 Scott Cir, Jbphh, HI 96853-5399 | 2020-06-01 |
| 1477013217 | Nathan Robert Becker | Military Health Care Provider | 755 Scott Cir, Jbphh, HI 96853-5399 | 2019-03-20 |
| 1558723858 | Rossmery Aragon-leonard | Military Health Care Provider | 755 Scott Cir, Jbphh, HI 96853-5399 | 2016-03-25 |
| 1699135400 | Christine Melch | Dentist | 755 Scott Cir, Jbphh, HI 96853-5399 | 2016-03-07 |
| 1851711519 | Jared Taniguchi | Pharmacist | 755 Scott Cir, Jbphh, HI 96853-5399 | 2014-04-21 |
| 1922441567 | Matthew Hansen Lindsey | General Practice | 755 Scott Cir, Jbphh, HI 96853-5399 | 2013-04-13 |
| 1073852265 | Nicole Anne Pries | Nurse Practitioner | 755 Scott Cir, Jbphh, HI 96853-5399 | 2013-02-07 |
| 1073862298 | Jeremy Troy Powell | Physician Assistant | 755 Scott Cir, Jbphh, HI 96853-5399 | 2012-09-04 |
| 1821383217 | Yusharn Wang | Registered Nurse | 755 Scott Cir, Jbphh, HI 96853-5399 | 2011-06-14 |
| 1245557438 | Elaine Mae Davis | Dietitian, Registered | 755 Scott Cir, Jbphh, HI 96853 | 2010-04-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467884759 | Edward Joseph Tucholski Jr. | Dentist | 15 Mdg, 755 Scott Circle, Jbphh, HI 96853 | 2013-08-08 |
| 1922232230 | Angela Marie Alveo-forbes | Military Health Care Provider | 375 Mamiya St, Bldg 2140, Hickam Ab, HI 96853 | 2009-05-14 |
| 1205180783 | John-michael Fowler | Registered Nurse | 755 Scott Circle, Jbphh, HI 96853 | 2012-11-05 |
| 1811250442 | April A Bronowski | Physical Therapist | 755 Scott Circle, 15 Mdg, Joint Base Pearl Harbor Hickam, HI 96853 | 2012-06-19 |
| 1609812163 | Joyce Ann Raszewski | Nurse Practitioner | 755 Scott Circle, Jbphh/hickam, HI 96853 | 2006-06-22 |
| 1720068976 | Richard Dale Quintana | Family Medicine | 15th Medical Group, Hickam Afb, Honolulu, HI 96853 | 2006-01-21 |
| 1124262746 | John Craig Bright | Military Health Care Provider | 15mdos/sgomf 755 Scott Circle, Hickam Afb, HI 96853-3672 | 2009-04-27 |
| 1134759715 | David Maldonado Santiago | Military Health Care Provider | 590 Moffet St, Jbphh, HI 96853-5168 | 2020-01-22 |
| 1366427395 | Lisa Katherine Rivera | Pathology | 590 Moffet St, Bldg 4077, Joint Base Pearl Harbor-hickam, Honolulu, HI 96853-5168 | 2005-12-13 |
| 1619154572 | Hickam Fire Emergency Services | Case Management | 345 Mamiya Avenue, Hickam, HI 96853-5233 | 2008-01-23 |
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| 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 |
|---|---|---|---|---|
| 1659770063 | Mandy Ramey | Dental Hygienist | 480 Central Ave, Jbphh, HI 96860-4908 | 2014-08-21 |
| 1811300171 | Melissa Ishii | Dental Hygienist | 1253 Makalapa Gate Rd, Jbphh, HI 96860-4479 | 2014-06-04 |
| 1245643667 | Mary Jane D.r. Takemoto | Dental Hygienist | 1253 Makalapa Gate Rd, Jbphh, HI 96860-4479 | 2014-06-03 |
| 1548680614 | Darlee-ruth Motosue | Dental Hygienist | 480 Central Ave, Jbphh, HI 96860-4908 | 2014-04-16 |
| 1780003921 | Desiree Baba | Dental Hygienist | 480 Central Ave, Jbphh, HI 96860-4908 | 2014-04-15 |
| 1386989937 | Yvonne Flonnory Cobb | Dental Hygienist | 480 Central Ave, Jbphh, HI 96860-4908 | 2012-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245870526 | Ouida Searay Vaillancourt | Dental Hygienist | 339 Mongomery Ave, Honolulu, HI 96819 | 2020-01-14 |
| 1245877968 | Marissa Powers | Dental Hygienist | 2452 Tusitala St Apt 809, Honolulu, HI 96815-3125 | 2019-12-01 |
| 1760024525 | Barbara Ann Pfuhl | Dental Hygienist | 790 Manawai St Apt 103, Kapolei, HI 96707-4567 | 2019-10-14 |
| 1679115513 | Carla Uchima-toy | Dental Hygienist | 246 Aikahi Loop, Kailua, HI 96734-1645 | 2019-10-11 |
| 1972152528 | Andrea D Raskin | Dental Hygienist | Bldg 660 Mc Cornack Road, Schofield Barracks, HI 96857 | 2019-09-06 |
| 1720636509 | Britney Tumaneng | Dental Hygienist | 94-951 Hiapo St, Waipahu, HI 96797-2804 | 2019-08-26 |
| 1376190959 | Nicole Felice Bishop | Dental Hygienist | Bldg#678 Mccornack Road, Na Koa Dental Clinic, Schofield Barracks, HI 96857 | 2019-08-20 |
| 1124671870 | Laura Beth Iversen | Dental Hygienist | 91-226 Leleoi Pl, Ewa Beach, HI 96706-4642 | 2019-07-22 |
| 1932675212 | Dept. of Health-hi Developmental Disabilities H&cdsb (dental) | Dental Hygienist | 1700 Lanakila Ave Rm 203, Honolulu, HI 96817-2115 | 2018-10-15 |
| 1689048456 | Samantha Duncan | Dental Hygienist | 92-1492 Aliinui Dr # 605, Kapolei, HI 96707-4295 | 2015-11-17 |
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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.