JILLIAN MARIE TRAVIS (NPI# 1821392457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821392457 |
| Entity Type | Individual |
| Full Name | JILLIAN MARIE TRAVIS |
| Credential | RDH |
| Practice Address |
1213 W Nishna Rd Shenandoah IA 51601-2115 |
| Mailing Address |
1204 W Sheridan Ave Shenandoah IA 51601-1554 |
| Practice Telephone | 7122462180 |
| Practice Fax Number | 7122461683 |
| Mailing Telephone | 7122462180 |
| Mailing Fax Number | 7122461683 |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2019-05-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
5587 | IA | Dental Providers |
| Y | 124Q00000X | Dental Hygienist | 2062 | IA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | NPI | 1306926407 | 01 |
| IA | 0062240 | 05 |
| Street Address |
1213 W NISHNA RD |
| City | SHENANDOAH |
| State | IA |
| Zip Code | 51601-2115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013215805 | Southwest Iowa Dental Associates Inc | Dentist | 1213 W Nishna Rd, Shenandoah, IA 51601-2115 | 2011-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336589969 | Jenifer Ann Deziel | Nurse Practitioner | Shenandoah Medical Center, 300 Pershing Avenue, Shenandoah, IA 51601 | 2013-06-27 |
| 1154621282 | Md West One, PC | Neurological Surgery | 1 Jack Foster Drive, Shenandoah, IA 51601 | 2010-10-22 |
| 1912119124 | Swfac Plc | Podiatrist | 813 Church St., Shenandoah, IA 51601 | 2007-05-03 |
| 1134246895 | David Carroll Dickson | Pedorthist | 612 W. Sheridan Avenue, Shenandoah, IA 51601 | 2007-03-26 |
| 1558433037 | Joseph Patrick Emge | Dentist | 301 Maple St, Suite 3, Shenandoah, IA 51601 | 2006-11-14 |
| 1487766309 | Scott Richard King | Obstetrics & Gynecology | 300 Pershing Avenue, Shenandoah, IA 51601 | 2006-08-31 |
| 1801904933 | Marvin E Belknap | Dentist | 617 West Thomas, Shenandoah, IA 51601 | 2006-08-28 |
| 1083687636 | Charles J Peterson Dc PC | Chiropractor | 1203 W Sheridan Ave, Shenandoah, IA 51601 | 2006-02-13 |
| 1467692152 | Carol A Stehlik | Nutritionist | 300 Pershing Avenue, Shenandoah, IA 51601-0382 | 2009-02-20 |
| 1265526248 | Nishna Productions, Inc. | Community/Behavioral Health | 902 Day St, Shenandoah, IA 51601-1106 | 2006-10-03 |
| Find all providers in zip 51601 | ||||
| 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 |
|---|---|---|---|---|
| 1336617117 | Hannah Laura Gerk | Dental Hygienist | 311 E 5th St, Saint Ansgar, IA 50472-9505 | 2018-11-09 |
| 1538559943 | Patricia Alden | Dental Hygienist | 201 2nd Ave Se, Dyersville, IA 52040-1604 | 2015-01-23 |
| 1134438179 | Ann Chambers | Dental Hygienist | 312 Lafayette Ave, Council Bluffs, IA 51503-1318 | 2010-09-24 |
| 1801030200 | Angela M Weiland | Dental Hygienist | 109 S Colby St, Algona, IA 50511-2808 | 2009-04-29 |
| 1023198934 | Stephanie Miecznikowski | Dental Hygienist | 1039 Arthur St, Iowa City, IA 52240-6665 | 2006-10-16 |
| 1932296399 | Mid Iowa Community Action, Inc | Dental Hygienist | 126 S Kellogg Ave, Suite 1, Ames, IA 50010-7030 | 2006-10-06 |
| 1447869912 | Becky Sue Renneckar | Dental Hygienist | 801 Newton Rd, Iowa City, IA 52242 | 2020-07-30 |
| 1538716980 | Zuhra Husidic | Dental Hygienist | 905 Franklin St, Waterloo, IA 50703-4407 | 2019-08-21 |
| 1588022974 | Juanita Furry | Dental Hygienist | 1789 Elm St, Suite A, Dubuque, IA 52001-2256 | 2016-02-01 |
| 1023481223 | Stephanie Chamberlin | Dental Hygienist | 905 Franklin St, Waterloo, IA 50703-4407 | 2015-11-10 |
| Find all providers with the same taxonomy | ||||
| City | SHENANDOAH |
| Zip Code | 51601 |
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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.