GABRIELLE K MICKELSON (NPI# 1770834970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770834970 |
| Entity Type | Individual |
| Full Name | GABRIELLE K MICKELSON |
| Other Name | GABRIELLE K HOFFMAN |
| Credential | RDH, PHRDH |
| Practice Address |
204 W 36th St Scottsbluff NE 69361 |
| Mailing Address |
204 W 36th St Scottsbluff NE 69361-4654 |
| Practice Telephone | 3086417414 |
| Mailing Telephone | 3086417414 |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2018-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 1976 | NE | Dental Providers |
| N | 174400000X | Specialist | NE | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 111 N Dewey St, North Platte, NE 691015439 | 3086961201 |
| Street Address |
204 W 36TH ST |
| City | SCOTTSBLUFF |
| State | NE |
| Zip Code | 69361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629588025 | Scottsbluff Dentist LLC | Dentist | 204 W 36th St, Scottsbluff, NE 69361-4654 | 2017-10-11 |
| 1568875599 | Jason Zitterkopf | Dentist | 204 W 36th St, Scottsbluff, NE 69361-4654 | 2014-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710592803 | Sara Lynn Luehrs | Counselor | Westmoor Elementary, Scottsbluff Public Schools, 1722 Avenue K, Scottsbluff, NE 69361 | 2020-09-15 |
| 1467924076 | Kelly Jean Betts | Nurse Practitioner | 1601 W. 27th St., Wncc Harms Building, Scottsbluff, NE 69361 | 2018-12-20 |
| 1952824716 | Ellen Otto | Nurse Practitioner | 3210 Ave B, Suite B Quick Care, Scottsbluff, NE 69361 | 2017-07-24 |
| 1518379593 | Suzanne Poynter | Counselor | 14 West 27th, Suite 26, Scottsbluff, NE 69361 | 2014-05-27 |
| 1225393390 | Brittany R Eirich | Internal Medicine | 3911 Ave B Ste #1100, Scottsbluff, NE 69361 | 2012-07-05 |
| 1548560584 | Western Plains Psychology P.C. | Psychologist | 3911 Ave B, Suite 3400, South Plaza, Scottsbluff, NE 69361 | 2010-10-25 |
| 1033340146 | Bluffs Health Care Clinic | Physician Assistant | 914 W 36th Str, Scottsbluff, NE 69361 | 2009-08-06 |
| 1598972994 | Panhandle Mental Health Center | Case Management | 410 South Beltline, Suite 3, Scottsbluff, NE 69361 | 2007-05-16 |
| 1821201294 | Kay C. Gamet | Social Worker | 4410 Ave D, Scottsbluff, NE 69361 | 2007-05-08 |
| 1952523243 | Merle Mcfadden Simpson | Respiratory Therapist, Registered | 180055 Thomas Dr, Scotsbluff, NE 69361 | 2007-05-03 |
| Find all providers in zip 69361 | ||||
| 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 |
|---|---|---|---|---|
| 1740645019 | Kendra Lauruhn | Dental Hygienist | 1930 E 20th Pl Ste 400, Scottsbluff, NE 69361-2708 | 2015-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932714052 | Cherrell T Rogers | Dental Hygienist | 4229 N 90th St Ste 103, Omaha, NE 68134-4136 | 2020-09-15 |
| 1831703362 | Kelli Leigh Kuhlenengel | Dental Hygienist | 2115 14th St Ste 200, Auburn, NE 68305-1760 | 2020-09-02 |
| 1588209308 | Hannah Randell | Dental Hygienist | 550 Technical Blvd, Hastings, NE 68901-8362 | 2019-11-15 |
| 1255892147 | Marina Titov | Dental Hygienist | 4200 Lucile Dr Ste 100, Lincoln, NE 68506-6032 | 2019-03-25 |
| 1639639701 | Shirlette A Hershiser | Dental Hygienist | 4200 Lucile Dr, Lincoln, NE 68506-6028 | 2019-03-23 |
| 1053875039 | Kesiah Elise Pulliam | Dental Hygienist | 9940 N Landing Trl, Elm Creek, NE 68836-8058 | 2019-01-24 |
| 1962975441 | Blair L Krska | Dental Hygienist | 306 S 4th St Ste 100, Seward, NE 68434-2533 | 2019-01-07 |
| 1033681689 | Kara Lilienthal | Dental Hygienist | 6110 S 191st St, Omaha, NE 68135-4272 | 2018-12-20 |
| 1942771423 | Melanie Rose Gardels | Dental Hygienist | 601 N St. Joseph Ave, Hastings, NE 68901 | 2018-12-10 |
| 1114494887 | Lisa Seaman | Dental Hygienist | 425 N Diers Ave Ste 3, Grand Island, NE 68803-4910 | 2018-10-30 |
| Find all providers with the same taxonomy | ||||
| City | SCOTTSBLUFF |
| Zip Code | 69361 |
Please comment or provide details below to improve the information on GABRIELLE K MICKELSON.
| 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.