KRISTY LYNN DEROSIA (NPI# 1851640478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851640478 |
Entity Type | Individual |
Full Name | KRISTY LYNN DEROSIA |
Credential | R.D.H |
Practice Address |
1420 London Rd Suite 206 Duluth MN 55805-2433 |
Practice Telephone | 2184817474 |
Practice Fax Number | 2187894150 |
Mailing Telephone | 2184817474 |
Mailing Fax Number | 2187894150 |
Enumeration Date | 2012-08-29 |
Last Update Date | 2015-06-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 124Q00000X | Dental Hygienist | 10916-016 | WI | Dental Providers |
Y | 124Q00000X | Dental Hygienist | H4727 | MN | Dental Providers |
Street Address |
1420 LONDON RD SUITE 206 |
City | DULUTH |
State | MN |
Zip Code | 55805-2433 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033116942 | Sara King Downs | Audiologist | 1420 London Rd, Suite 105, Duluth, MN 55805-2433 | 2005-07-07 |
1235467655 | Eva Grant Trueblood-pearce | Physical Therapist | 1420 London Rd, Suite 102, Duluth, MN 55805-2433 | 2009-11-23 |
1942450143 | Sara Beth Chmielewski | Physical Therapist | 1420 London Rd, Suite 102, Duluth, MN 55805-2433 | 2008-09-24 |
1821251455 | Occupational and Manual Medicine of Duluth | Preventive Medicine | 1420 London Rd, Suite 102b, Duluth, MN 55805-2433 | 2008-07-03 |
1114110624 | Lisa Marie Mcinally | Physical Therapist | 1420 London Rd, Suite 102, Duluth, MN 55805-2433 | 2007-08-20 |
1447456058 | Kara Conry | Dentist | 1420 London Rd, Suite 206, Duluth, MN 55805-2433 | 2007-06-21 |
1740311067 | Northern Arm & Hand Center, Inc. | Durable Medical Equipment & Medical Supplies | 1420 London Rd, Suite 102, Duluth, MN 55805-2433 | 2007-03-08 |
1477612604 | Gillette Children's Specialty Healthcare | Durable Medical Equipment & Medical Supplies | 1420 London Rd, Duluth, MN 55805-2433 | 2006-12-06 |
1649376682 | Janice Culliton | Physical Therapist | 1420 London Rd, Suite 102, Duluth, MN 55805-2433 | 2006-09-16 |
1205932258 | Tonya Benzie | Occupational Therapist | 1420 London Rd, Suite 102, Duluth, MN 55805-2433 | 2006-09-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356852180 | Peace of Mind of Duluth, Inc. | Community/Behavioral Health | 1000 East 1st Street, Suite 100, Duluth, MN 55805 | 2017-10-19 |
1891213419 | Arielle Skalisky | Registered Nurse | 400 E. 3rd Street, Duluth, MN 55805 | 2017-09-04 |
1457886400 | Chefrdn, LLC | Dietitian, Registered | 1101 East 4th Street, Duluth, MN 55805 | 2017-04-27 |
1962811604 | Claire Elena Kap | Nurse Practitioner | Essentia Health Duluth Clnic, 400 East Third Street, Duluth, MN 55805 | 2014-08-06 |
1598196313 | Kelsey Lindsay Putvin | Audiologist | 400 E 3rd St., Duluth, MN 55805 | 2013-12-04 |
1639462997 | James F Conniff | Family Medicine | Duluth Family Medicine Clinic, 330 N Eighth Ave E, Duluth, MN 55805 | 2011-05-19 |
1215237433 | Bobby Jo Mineheine | Speech-Language Pathologist | 530 East Second St, Polinsky Medical Rehab Ctr, Duluth, MN 55805 | 2010-10-22 |
1891004248 | Robin Michelle Warfel | Occupational Therapist | 530 East 2nd Street, Polinsky Medical Rehabilitation Center, Duluth, MN 55805 | 2010-10-04 |
1154638716 | Jennifer Chen | Pharmacist | 420 E 1st St Mail Drop 1s3w10, Duluth, MN 55805 | 2010-09-02 |
1376858084 | Jennifer Lynn Howard | Pharmacist | 211 West Fourth Street, Center for American Indian Resources, Duluth, MN 55805 | 2010-08-18 |
Find all providers in zip 55805 |
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 |
---|---|---|---|---|
1174152078 | Ligita Lizuniene | Dental Hygienist | 3705 Old Norcross Rd Ste 300, Duluth, GA 30096-4336 | 2020-04-03 |
1790111250 | Tammy Kaye Miskovich | Dental Hygienist | 3614 Minnesota Ave, Duluth, MN 55802-2541 | 2013-09-16 |
1295084945 | Rikki Kolquist | Dental Hygienist | 730 W Skyline Pkwy, Duluth, MN 55806-2436 | 2012-09-07 |
1194002816 | Anita Caines | Dental Hygienist | 8104 Vinland St, Duluth, MN 55810-1402 | 2011-11-09 |
1952688871 | Megan Rock | Dental Hygienist | 2720 W 7th St, Duluth, MN 55806-1345 | 2011-11-06 |
1043819758 | Alina D Simonca | Dental Hygienist | 3780 Old Norcross Rd Ste 303, Duluth, GA 30096-1742 | 2020-10-22 |
1457984783 | Kellie Lynn Murphy | Dental Hygienist | 4325 Grand Ave, Duluth, MN 55807-2730 | 2020-02-14 |
1467813964 | Lisa Ann Robertson | Dental Hygienist | 4325 Grand Ave, Duluth, MN 55807-2730 | 2016-03-10 |
1205223732 | Jennifer Springer | Dental Hygienist | 4325 Grand Ave, Duluth, MN 55807-2730 | 2015-04-22 |
1093102725 | Amy Marxhausen | Dental Hygienist | 4325 Grand Ave, Duluth, MN 55807-2730 | 2015-04-21 |
Find all providers in DULUTH |
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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.