MS. KENDRA LYNN HAYNES (NPI# 1841562212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841562212 |
| Entity Type | Individual |
| Full Name | MS. KENDRA LYNN HAYNES |
| Credential | RDH, BS |
| Practice Address |
2501 Capehart Rd Offutt A F B NE 68113-1043 |
| Practice Telephone | 4022943212 |
| Mailing Telephone | 4022943212 |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2012-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 1079 | NE | Dental Providers |
| Street Address |
2501 CAPEHART RD |
| City | OFFUTT A F B |
| State | NE |
| Zip Code | 68113-1043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275816902 | Jeremy Lee Hurst | Nurse Practitioner | 2501 Capehart Rd, Offutt A F B, NE 68113-1043 | 2011-09-20 |
| 1568758746 | Daniel Joseph Binkowski | Dentist | 2501 Capehart Rd, Offutt A F B, NE 68113-1043 | 2011-06-25 |
| 1427355866 | Andrea Jefferson | Military Health Care Provider | 2501 Capehart Rd, Offutt A F B, NE 68113-1043 | 2011-02-22 |
| 1447553169 | Jeffrey Grant Larkin | Dentist | 2501 Capehart Rd, Offutt A F B, NE 68113-1043 | 2010-12-20 |
| 1629309109 | Miriam E Flack | Dietitian, Registered | 2501 Capehart Rd, Offutt A F B, NE 68113-1043 | 2010-01-22 |
| 1194954412 | Molly Claire Goessling | Pharmacist | 2501 Capehart Rd, Offutt A F B, NE 68113-1043 | 2009-07-08 |
| 1447486253 | Aaron Michael Wulff | Dentist | 2501 Capehart Rd, Offutt A F B, NE 68113-1043 | 2009-06-08 |
| 1407082522 | Claude Alan Russo | Military Health Care Provider | 2501 Capehart Rd, Sgopf, Offutt A F B, NE 68113-1043 | 2009-06-03 |
| 1245465137 | Gregory Royce Beavers | Military Health Care Provider | 2501 Capehart Rd, Offutt A F B, NE 68113-1043 | 2009-05-20 |
| 1619111895 | Jacquelene Sheree Cota | Military Health Care Provider | 2501 Capehart Rd, Offutt A F B, NE 68113-1043 | 2009-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386133668 | Peter Mitchell Martin | Family Medicine | Offutt Afb Family Medicine Residency, 2501 Capehart Rd., Offutt Afb, NE 68113 | 2018-05-02 |
| 1619212792 | Tyrone Antonio Simon | Social Worker | 2501 Capehart Rd Bldg 4000, Offutt Afb, NE 68113 | 2012-11-30 |
| 1245536994 | Aaron Bradley Smith | Military Health Care Provider | Ehrling Bergquist Clinic, 2501 Capehart Rd, Offutt Afb, NE 68113 | 2011-01-28 |
| 1962719294 | Amy Elaine Klein | Optometrist | 106 Meyer Ave, Bldg 166, Offutt Afb, NE 68113 | 2010-09-08 |
| 1720248974 | Americas Best Contacts & Eyeglasses | Technician/Technologist | Bldg 166 Offutt Afb Exchange, Offutt Afb, NE 68113 | 2008-06-11 |
| 1548343296 | Jack David Wright | Pharmacist | 2501 Capehart, Erhling Bergquist Hospital, Offutt Afb, NE 68113 | 2006-10-23 |
| 1215023890 | Mark James Angerbauer | Dentist | 2501 Capehart Rd., Omaha, NE 68113 | 2006-10-04 |
| 1003915430 | 55th Medical Group Sgsl | Pharmacy | Bldg 107 Rm 101, Offutt, NE 68113 | 2006-09-22 |
| 1407804800 | Valerie June Malloy | Family Medicine | Offutt Afb, Erhling Berquist Clinic, Belluvue, NE 68113 | 2006-05-05 |
| 1457766909 | Robyn Thiede | Nurse Practitioner | 2501 Capehart Road, Family Medicine Residency Clinic, Ehrling Bergquist, Offutt Afb, NE 68113 | 2014-06-24 |
| Find all providers in zip 68113 | ||||
| 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 |
|---|---|---|---|---|
| 1437322799 | Janelle A Zeleny | Dental Hygienist | 2501 Capehart Rd, 55th Dental Squadron Suite 1i16, Offutt A F B, NE 68113-1043 | 2008-04-08 |
| 1922072842 | Rita Mary Sundermann | Dental Hygienist | 2501 Capehart Rd, Offutt A F B, NE 68113-1043 | 2006-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932714052 | Cherrell T Rogers | Dental Hygienist | 4229 N 90th St Ste 103, Omaha, NE 68134-4136 | 2020-09-15 |
| 1831703362 | Kelli Leigh Kuhlenengel | Dental Hygienist | 2115 14th St Ste 200, Auburn, NE 68305-1760 | 2020-09-02 |
| 1588209308 | Hannah Randell | Dental Hygienist | 550 Technical Blvd, Hastings, NE 68901-8362 | 2019-11-15 |
| 1255892147 | Marina Titov | Dental Hygienist | 4200 Lucile Dr Ste 100, Lincoln, NE 68506-6032 | 2019-03-25 |
| 1639639701 | Shirlette A Hershiser | Dental Hygienist | 4200 Lucile Dr, Lincoln, NE 68506-6028 | 2019-03-23 |
| 1053875039 | Kesiah Elise Pulliam | Dental Hygienist | 9940 N Landing Trl, Elm Creek, NE 68836-8058 | 2019-01-24 |
| 1962975441 | Blair L Krska | Dental Hygienist | 306 S 4th St Ste 100, Seward, NE 68434-2533 | 2019-01-07 |
| 1033681689 | Kara Lilienthal | Dental Hygienist | 6110 S 191st St, Omaha, NE 68135-4272 | 2018-12-20 |
| 1942771423 | Melanie Rose Gardels | Dental Hygienist | 601 N St. Joseph Ave, Hastings, NE 68901 | 2018-12-10 |
| 1114494887 | Lisa Seaman | Dental Hygienist | 425 N Diers Ave Ste 3, Grand Island, NE 68803-4910 | 2018-10-30 |
| Find all providers with the same taxonomy | ||||
| City | OFFUTT A F B |
| Zip Code | 68113 |
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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.