TRACY BETH KELLER (NPI# 1770924748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770924748 |
| Entity Type | Individual |
| Full Name | TRACY BETH KELLER |
| Credential | RDH, EFDA |
| Practice Address |
420 Superior St Sandusky OH 44870-1849 |
| Practice Telephone | 4196265623 |
| Practice Fax Number | 4196268778 |
| Mailing Telephone | 4196265623 |
| Mailing Fax Number | 4196268778 |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2013-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 31008390 | OH | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023422847 | Tracy Keller | Pharmacist | 11729 Beltsville Dr, Beltsville, MD 20705-3147 | 2014-06-19 |
| 1245619907 | Tracy C Keller | Counselor | 6980 N Port Washington Rd, Ste 202, Milwaukee, WI 53217 | 2015-05-27 |
| 1902146400 | Tracy Diane Keller | Speech-Language Pathologist | 17045 El Camino Real Ste 106, Houston, TX 77058-2623 | 2013-02-20 |
| 1629015300 | Tracy L Keller | Physical Therapist | 1245 Washington Ave, Detroit Lakes, MN 56501-3905 | 2006-06-01 |
| Street Address |
420 SUPERIOR ST |
| City | SANDUSKY |
| State | OH |
| Zip Code | 44870-1849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780898320 | Susan Renee Rice | Obstetrics & Gynecology | 420 Superior St, Sandusky, OH 44870 | 2007-05-10 |
| 1205488343 | Heather Missler | Nurse Practitioner | 420 Superior St, Sandusky, OH 44870-1849 | 2019-07-09 |
| 1295393437 | Sherry Sharma | Dentist | 420 Superior St, Sandusky, OH 44870-1849 | 2019-06-03 |
| 1760960843 | Erie County Office of Auditor | Rehabilitation, Substance Use Disorder Unit | 420 Superior St, Sandusky, OH 44870-1849 | 2018-08-01 |
| 1467949230 | Jennifer Hacker | Nurse Practitioner | 420 Superior St, Sandusky, OH 44870-1849 | 2018-04-17 |
| 1114379567 | Jinbo Chung | Dentist | 420 Superior St, Erie County Health Department, Sandusky, OH 44870-1849 | 2016-07-11 |
| 1225419500 | Roberto Gonzales | Nurse Practitioner | 420 Superior St, Sandusky, OH 44870-1849 | 2015-06-12 |
| 1700157492 | Erie County Office of Auditor | Clinic/Center | 420 Superior St, Sandusky, OH 44870-1849 | 2012-01-26 |
| 1912130675 | University Hospitals Medical Group, Inc. | Pediatrics | 420 Superior St, Sandusky, OH 44870-1849 | 2009-08-28 |
| 1558562314 | Wendell Craig Eldridge | Family Medicine | 420 Superior St, Sandusky, OH 44870-1849 | 2007-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154094 | Patricia Ann Barton | Non-emergency Medical Transport (VAN) | 622 Clinton St, Sandusky, OH 44870 | 2020-11-02 |
| 1154802080 | Kathryn Nicole Fisher | Counselor | 1975 Hayes Avenue, Sandusky, OH 44870 | 2018-08-28 |
| 1245727551 | Frank Lynn Fox Jr. | Audiologist | 1522 E Perkins Ave, Sandusky, OH 44870 | 2018-04-23 |
| 1689187338 | Marc Christian Lowe | Case Manager/Care Coordinator | 206 Brandon Blvd, Sandusky, OH 44870 | 2017-11-15 |
| 1043740079 | Charlene Jeanette Adams | Counselor | 1518 Pearl Street, Sandusky, OH 44870 | 2017-06-13 |
| 1386194884 | Max King I | Counselor | 912 Sycamore Line Apt.3d, Sandusky, OH 44870 | 2016-10-07 |
| 1811349475 | Dannon C Smith | Nurse Practitioner | 266 E Perkins Aveneue, Sandusky, OH 44870 | 2016-07-07 |
| 1053774810 | Rachel Lynn Holbrook | Nurse Practitioner | 266 E Perkins Ave, Sandusky, OH 44870 | 2016-03-30 |
| 1700246295 | Caren Westbrooks | Home Health Aide | 168 W. Shoreway Drive, Sandusky, OH 44870 | 2016-02-26 |
| 1679962260 | Academy of Arts and Sciences | Local Education Agency (LEA) | 328 E. Monroe Street, Sandusky, OH 44870 | 2015-01-20 |
| Find all providers in zip 44870 | ||||
| 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 |
|---|---|---|---|---|
| 1093320640 | Kimberly Ann Lunsford | Dental Hygienist | 1417 S Beechgrove Rd, Wilmington, OH 45177-9118 | 2020-09-10 |
| 1669984860 | Sheri Jean Bishop | Dental Hygienist | 750 E Long St, Columbus, OH 43203-1846 | 2017-10-27 |
| 1154849487 | Anne Daoust-garcia | Dental Hygienist | 635 N Erie St Rm 272, Toledo, OH 43604-5317 | 2017-09-07 |
| 1760849566 | Deborah Miller | Dental Hygienist | 258 E Market St Ste 327, Warren, OH 44481-1203 | 2016-01-25 |
| 1699132084 | Allison Neal | Dental Hygienist | 5999 State St, Albany, OH 45710-9285 | 2016-01-15 |
| 1073998944 | Rise A. Gibson | Dental Hygienist | 342 Muskingum Drive, Marietta, OH 45750 | 2015-07-21 |
| 1346638343 | Amy Beth Diddle | Dental Hygienist | 47445 Morning Star Rd, Racine, OH 45771-8808 | 2014-12-30 |
| 1821492810 | Deirdre Bielecki | Dental Hygienist | 418 Main Avenue Sw, Warren, OH 44481 | 2014-10-20 |
| 1366845190 | Rhonda Mahan | Dental Hygienist | 635 W 7th St Ste 405, Cincinnati, OH 45203-1549 | 2014-10-07 |
| 1548663040 | Janice Large | Dental Hygienist | 675 Price Rd, Newark, OH 43055-9506 | 2014-09-29 |
| 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.