AMELIA SHIPMAN (NPI# 1790265858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790265858 |
| Entity Type | Individual |
| Full Name | AMELIA SHIPMAN |
| Practice Address |
141 Communication Dr Hannibal MO 63401-3670 |
| Mailing Address |
118 N 2nd St Ste 200 Saint Charles MO 63301-2894 |
| Practice Telephone | 5736031460 |
| Mailing Telephone | 6362241210 |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2018-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 124Q00000X | Dental Hygienist | 020015213 | IL | Dental Providers |
| Y | 124Q00000X | Dental Hygienist | 2017005949 | MO | Dental Providers |
| Street Address |
141 COMMUNICATION DR |
| City | HANNIBAL |
| State | MO |
| Zip Code | 63401-3670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508857186 | Ellen Sean Meyer | Counselor | 141 Communication Dr, Hannibal, MO 63401-3670 | 2005-11-02 |
| 1841826435 | Ashanti Anderson | Licensed Practical Nurse | 141 Communication Dr, Hannibal, MO 63401-3670 | 2020-03-16 |
| 1003454570 | Brittany Widebrook | Licensed Practical Nurse | 141 Communication Dr, Hannibal, MO 63401-3670 | 2019-12-16 |
| 1326696360 | Amy L Bue | Registered Nurse | 141 Communication Dr, Hannibal, MO 63401-3670 | 2019-09-03 |
| 1053968586 | Lindsey Marie Pyse | Dental Hygienist | 141 Communication Dr, Hannibal, MO 63401-3670 | 2019-08-20 |
| 1356994990 | Joanna Barnes | Dentist | 141 Communication Dr, Hannibal, MO 63401-3670 | 2019-07-23 |
| 1841842796 | Michon Lea Hawkins | Dentist | 141 Communication Dr, Hannibal, MO 63401-3670 | 2019-07-11 |
| 1659931491 | Mandy Lee Eisenberg | Social Worker | 141 Communication Dr, Hannibal, MO 63401-3670 | 2019-06-14 |
| 1013576032 | Ailie Joy Powers | Dentist | 141 Communication Dr, Hannibal, MO 63401-3670 | 2019-06-12 |
| 1952968141 | Heather Anne Mahsman | Registered Nurse | 141 Communication Dr, Hannibal, MO 63401-3670 | 2019-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255981064 | Amanda Lynn Jennings | Nurse Practitioner | Hannibal Clinic, 100 Medical Drive, Hannibal, MO 63401 | 2019-09-13 |
| 1316452295 | Hannibal Regional Healthcare System, Inc | Hospice Care, Community Based | 6401 Hwy Mm, Hannibal, MO 63401 | 2017-12-13 |
| 1932614351 | Sidney M Johnson | Counselor | 1221 Broadway St, Hannibal, MO 63401 | 2017-12-07 |
| 1316467210 | Jessica Baker | Counselor | 4355 Paris Gravel Road, Hannibal, MO 63401 | 2017-06-21 |
| 1346787066 | Hands Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17 Settlerstrail, Hannibal, MO 63401 | 2017-01-20 |
| 1134571672 | Pamela Barrigar | Social Worker | 4600 Mcmasters Ave, Hannibal, MO 63401 | 2016-07-08 |
| 1639540677 | Jessica Murfin | Speech-Language Pathologist | 544 N Veterans Rd, Hannibal, MO 63401 | 2015-10-16 |
| 1366835639 | Cpo Services, Inc. | Prosthetic/Orthotic Supplier | 8965 Highway 36 Ste 3, Hannibal, MO 63401 | 2015-03-11 |
| 1639324254 | Hannibal Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 118 Steam Boat Bend, Hannibal, MO 63401 | 2008-11-24 |
| 1780856112 | Barbara Belle Smith | Social Worker | 3700 Hwy Mm, Hannibal, MO 63401 | 2008-03-26 |
| Find all providers in zip 63401 | ||||
| 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 |
|---|---|---|---|---|
| 1053968586 | Lindsey Marie Pyse | Dental Hygienist | 141 Communication Dr, Hannibal, MO 63401-3670 | 2019-08-20 |
| 1689059073 | Alyssa Williams | Dental Hygienist | 141 Communication Dr, Hannibal, MO 63401-3670 | 2015-07-27 |
| 1396123543 | Lindsay Anderson | Dental Hygienist | 141 Communication Dr, Hannibal, MO 63401-3670 | 2015-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323238 | Marcia Poe | Dental Hygienist | 20815 S Dean Rd, Belton, MO 64012-9132 | 2020-10-12 |
| 1629682943 | Seong Jin Park | Dental Hygienist | 6958 Nebraska Ave Bldg 1608, Fort Leonard Wood, MO 65473-1618 | 2020-09-03 |
| 1447868542 | Emily Sue Leslie | Dental Hygienist | 315 W Mulberry Ste B, Pilot Knob, MO 63663-7860 | 2020-07-15 |
| 1982198453 | Traci Anne Shambo | Dental Hygienist | Bldg. 400 Virginia Ave, Fort Leonard Wood, MO 65473 | 2018-06-19 |
| 1396237863 | Maegen Mone Taylor | Dental Hygienist | 547 S Business Highway 13, Lexington, MO 64067 | 2018-05-31 |
| 1740798750 | Julie R Phillips | Dental Hygienist | 10007 Nw Lema Dr Apt C, Parkville, MO 64152-3933 | 2018-01-12 |
| 1639618325 | Tabitha Vollmer | Dental Hygienist | 1701 W. Sunshine Street, Suite Q, Springfield, MO 65807-2261 | 2017-02-15 |
| 1588113773 | Heather Annette Henke | Dental Hygienist | #5 Health Department Drive, Troy, MO 63379-4451 | 2016-09-28 |
| 1720532104 | Angela Faurot | Dental Hygienist | 4001 Pine View Dr, Columbia, MO 65202-4209 | 2016-08-15 |
| 1497105688 | Lisa Diane Moss | Dental Hygienist | 5047 Virginia Ave, Bldg 500, Fort Leonard Wood, MO 65473-9126 | 2016-06-17 |
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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.