MARY LEWIS (NPI# 1821349374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821349374 |
| Entity Type | Individual |
| Full Name | MARY LEWIS |
| Credential | RDH |
| Practice Address |
3160 Montana Dr Prescott AZ 86301-4627 |
| Practice Telephone | 9288993851 |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2012-09-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | H 4200 | AZ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831604909 | Mary Elizabeth Lewis | Specialist | 120 Fairforest Rd, Columbia, SC 29212-2308 | 2017-12-11 |
| 1285150789 | Mary Ivy Lewis | Physical Therapist | 139 Sowers Dr, Hackettstown, NJ 07840-7626 | 2017-08-16 |
| 1053766469 | Mary Jennifer Lewis | Counselor | 1473 Moraine Valley Dr, Severance, CO 80550 | 2016-05-04 |
| 1063878882 | Mary Antoinette Lewis | Occupational Therapist | 3029 Winterberry Dr, Roanoke, VA 24018-2865 | 2016-01-08 |
| 1134482060 | Mary M Lewis | Registered Nurse | 406 W Fertitta Blvd, Leesville, LA 71446-4649 | 2012-06-15 |
| 1871883843 | Mary Michael Lewis | Speech-Language Pathologist | 406 Capitol St, Charleston, WV 25301-1717 | 2011-04-12 |
| 1942525191 | Mary Anne Lewis | Occupational Therapist | 717 Maple St, Stowe, VT 05672-4250 | 2010-03-31 |
| 1144472846 | Mary Catherine Lewis | Social Worker | 7438 Carrier Rd, Fort Myers, FL 33967-2757 | 2008-10-14 |
| 1659562304 | Mary Lewis | Rehabilitation Practitioner | 625 Fair Oaks Ave Ste 110, South Pasadena, CA 91030-2630 | 2007-08-07 |
| 1205030541 | Mary Lewis | Marriage & Family Therapist | 1932 Picasso Ave, Davis, CA 95618-0504 | 2007-06-12 |
| Street Address |
3160 MONTANA DR |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86301-4627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102350 | Dove Marie Gundermann | Specialist/Technologist | 300 W. Gurley St, Prescott, AZ 86301 | 2020-07-30 |
| 1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
| 1538714092 | Prescott Complete Care | Family Medicine | 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 | 2019-08-01 |
| 1336612571 | Sarah Elizabeth Elliott | Registered Nurse | 500 Az 89, Prescott, AZ 86301 | 2019-01-10 |
| 1912484270 | Asya Ruth Perkins | Counselor | 225 Grove Avenue, Prescott, AZ 86301 | 2018-07-19 |
| 1396241394 | Jerome Alexander Longoria | Chiropractor | 142 N. Rush St, Prescott, AZ 86301 | 2018-03-30 |
| 1619487675 | Yavapai Healthcare Group LLC | Nurse Practitioner | 999 Division Street, Prescott, AZ 86301 | 2017-10-04 |
| 1053835843 | United States Veterans Initiative | Counselor | 917 E Gurley St, Prescott, AZ 86301 | 2017-08-02 |
| 1164896999 | Spitler - Lilley, LLC | Hearing Instrument Specialist | 1781 E. State Rte 69, Suite 65, Prescott, AZ 86301 | 2015-11-17 |
| 1275925265 | Oral and Facial Surgery Center of Prescott | Dentist | 5415 Distiction Way, Prescott, AZ 86301 | 2015-02-27 |
| Find all providers in zip 86301 | ||||
| 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 |
|---|---|---|---|---|
| 1942754577 | Katie Susan Flood | Dental Hygienist | 644 Antelope Loop, Prescott, AZ 86301-5733 | 2016-08-11 |
| 1356678650 | Hannah B Peterson | Dental Hygienist | 3140 Clearwater Dr, Prescott, AZ 86305-7131 | 2009-11-06 |
| 1396242178 | Nicole Mahan | Dental Hygienist | 3140 Clearwater Dr, Prescott, AZ 86305-7131 | 2018-04-09 |
| 1356879373 | Margaret Elizabeth Layton | Dental Hygienist | 3140 Clearwater Dr, Prescott, AZ 86305-7131 | 2017-06-03 |
| 1376085563 | Leticia Montes | Dental Hygienist | 3140 Clearwater Dr, Prescott, AZ 86305-7131 | 2016-11-06 |
| 1043681927 | Rebecca Howard | Dental Hygienist | 500 N Us Highway 89, Prescott, AZ 86313-5001 | 2015-10-16 |
| 1003212135 | Denise Cartier | Dental Hygienist | 3140 Clearwater Dr, Prescott, AZ 86305-7131 | 2014-11-17 |
| 1215210984 | Laurie Mitchell Allen | Dental Hygienist | 3140 Clearwater Dr, Prescott, AZ 86305-7131 | 2011-09-20 |
| 1205038007 | Nissa Mikkelsen | Dental Hygienist | Northern Arizona Va Hcs, 500 N. Hwy 89, Prescott, AZ 86313 | 2007-06-04 |
| 1821195298 | Mary Jane Milbyer | Dental Hygienist | Northern Arizona Va Hcs, Prescott, AZ 86313 | 2006-09-20 |
| Find all providers in PRESCOTT | ||||
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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.