ARIELLE ILLIA (NPI# 1821496001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821496001 |
| Entity Type | Individual |
| Full Name | ARIELLE ILLIA |
| Practice Address |
150 Ne Kenneth Ford Dr Roseburg OR 97470-1042 |
| Practice Telephone | 5416729596 |
| Mailing Telephone | 5416729596 |
| Enumeration Date | 2014-12-19 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | H6899 | OR | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 696 Ne Winchester St, Roseburg, OR 974703260 | 5416732724 |
| Street Address |
150 NE KENNETH FORD DR |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97470-1042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801881974 | Joe Wayne Howard Jr. | Dentist | 150 Ne Kenneth Ford Dr, Roseburg, OR 97470 | 2005-09-15 |
| 1457951147 | Richelle Gix | Denturist | 150 Ne Kenneth Ford Dr, Roseburg, OR 97470-1042 | 2020-10-30 |
| 1144834912 | Meredith Lafrance | Dietitian, Registered | 150 Ne Kenneth Ford Dr, Roseburg, OR 97470-1042 | 2020-08-31 |
| 1104434224 | Melissa Snell | Family Medicine | 150 Ne Kenneth Ford Dr, Roseburg, OR 97470-1042 | 2020-07-14 |
| 1902428428 | Amal Alyusuf | Family Medicine | 150 Ne Kenneth Ford Dr, Roseburg, OR 97470-1042 | 2020-05-07 |
| 1861012213 | Christy Sunny | Family Medicine | 150 Ne Kenneth Ford Dr, Roseburg, OR 97470-1042 | 2020-04-25 |
| 1013536382 | John Travis Melling | Family Medicine | 150 Ne Kenneth Ford Dr, Roseburg, OR 97470-1042 | 2020-04-15 |
| 1437618691 | Gabrielle Ann Kelly | Family Medicine | 150 Ne Kenneth Ford Dr, Roseburg, OR 97470-1042 | 2019-03-18 |
| 1740761519 | Alex Renee Shaffer | Physician Assistant | 150 Ne Kenneth Ford Dr, Roseburg, OR 97470-1042 | 2018-08-28 |
| 1750878484 | Tsz Ho Wong | Family Medicine | 150 Ne Kenneth Ford Dr, Roseburg, OR 97470-1042 | 2018-04-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326547134 | Thoughtwork, LLC | Social Worker | 178 Nw Garden Valley Blvd, Roseburg, OR 97470 | 2018-02-07 |
| 1063932960 | Go Mo, LLC | Durable Medical Equipment & Medical Supplies | 627 Se Jackson St, Roseburg, OR 97470 | 2017-06-21 |
| 1497123335 | Brandi N Hamilton | Counselor | 215 S.e. Jackson, Roseburg, OR 97470 | 2015-09-09 |
| 1285031203 | Aric Fromdahl | Counselor | 215 Se Jackson, Roseburg, OR 97470 | 2014-11-20 |
| 1801292438 | Robin Knebel | Counselor | 215 Se Jackson St., Roseburg, OR 97470 | 2014-11-10 |
| 1700282415 | Samantha Marie Shelley | Counselor | 215 Se Jackson Street, Roseburg, OR 97470 | 2014-11-06 |
| 1043610660 | Cynthia Simmons | Counselor | 150 Ne Kenneth Ford Drive, Roseburg, OR 97470 | 2014-09-02 |
| 1083025431 | Toni Damewood Msn Pmhnp-bc | Nurse Practitioner | 770 Se Kane Street, Roseburg, OR 97470 | 2014-05-19 |
| 1801226196 | Denise Ingeman | Registered Nurse | 1548 South East Pine Street, Roseburg, OR 97470 | 2013-11-22 |
| 1356606909 | Carla Junette Rambel | Massage Therapist | 566 S.e. Jackson, Roseburg, OR 97470 | 2012-07-10 |
| Find all providers in zip 97470 | ||||
| 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 |
|---|---|---|---|---|
| 1992355077 | Karla Lois Preston Wilfong | Dental Hygienist | 1600 Garden Valley Blvd, Roseburg, OR 97471-8700 | 2019-09-19 |
| 1609248392 | Lindsay Bateman | Dental Hygienist | 8150 N Umpqua Hwy, Roseburg, OR 97470-9421 | 2015-10-21 |
| 1083085864 | Cheryl Briggs | Dental Hygienist | 4776 Flournoy Valley Rd, Roseburg, OR 97471-9787 | 2015-10-19 |
| 1184955973 | Christina Olsson | Dental Hygienist | 696 Ne Winchester St, Roseburg, OR 97470-3260 | 2010-01-19 |
| 1659516482 | Sheila Rae Braack | Dental Hygienist | 2934 Oakridge Ave, Roseburg, OR 97471-2269 | 2008-12-08 |
| 1023050044 | Carol A. Poe | Dental Hygienist | 1050 Echo Dr, Roseburg, OR 97470-8478 | 2006-06-12 |
| 1881219087 | Karri Deeann Zimmerman | Dental Hygienist | 1313 W Harvard Ave, Roseburg, OR 97471-2838 | 2020-06-12 |
| 1295247666 | Teresa Dove | Dental Hygienist | 150 Ne Kenneth Ford Dr, Roseburg, OR 97470-1042 | 2017-10-25 |
| 1568980407 | Rachel Sutton | Dental Hygienist | 2700 Stewart Parkway, Roseburg, OR 97471 | 2017-08-30 |
| 1932657731 | Wendy Dougherty | Dental Hygienist | 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 | 2016-09-21 |
| Find all providers in ROSEBURG | ||||
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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.