DIANE RENEE WEIDLEY (NPI# 1891924403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891924403 |
| Entity Type | Individual |
| Full Name | DIANE RENEE WEIDLEY |
| Credential | RDH |
| Practice Address |
Hwy 264, Mpp 388 Polacca AZ 86042 |
| Mailing Address |
Hwy 264, Mpp 388 P.o. Box 4000 Polacca AZ 86042 |
| Practice Telephone | 9287376169 |
| Practice Fax Number | 9287376168 |
| Mailing Telephone | 9287376169 |
| Mailing Fax Number | 9287376168 |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2009-07-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH16244 | FL | Dental Providers |
| Street Address |
HWY 264, MPP 388 |
| City | POLACCA |
| State | AZ |
| Zip Code | 86042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578020301 | Theresa K Barrick | Registered Nurse | Hwy 264, Mpp 388, Polacca, AZ 86042 | 2019-02-28 |
| 1275957052 | Susan Mathew | Clinical Nurse Specialist | Hwy 264, Mpp 388, Polacca, AZ 86042-4000 | 2014-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553787 | Megan Gilliam | Pharmacist | Mile Post 288 Hwy 264, Polacca, AZ 86042 | 2020-09-21 |
| 1295348787 | Emma Guadalupe Cortez | Nurse's Aide | Hopi Health Care, Hwy 264 Mp 388, Polacca, AZ 86042 | 2020-08-25 |
| 1942835434 | Kevin C Powers | Registered Nurse | Route 264 Mp 388, Polacca, AZ 86042 | 2020-03-05 |
| 1780217463 | Kim N Le | Family Medicine | Mile Post 388 Highway 264, Polacca, AZ 86042 | 2020-02-20 |
| 1265959365 | Karen Olivia Francis | Registered Nurse | Highway 264 Mile Post, Hopi Health Care Facility, Polacca, AZ 86042 | 2017-08-29 |
| 1629598339 | Marina Kanoelani Mehau-sanchez | Pharmacist | Hwy 264 At Mile Post 388, Hopi Health Care Center, Polacca, AZ 86042 | 2017-06-23 |
| 1184096786 | Erica Lalo | Technician, Other | Hwy 264 Mp388, Polacca, AZ 86042 | 2015-10-22 |
| 1790124618 | Michael Everett Robinson | Registered Nurse | Highway 264 Mile Post 388, Polacca, Az 86042, Hopi Health Care Center (ihs), Polacca, AZ 86042 | 2013-06-25 |
| 1760728232 | Rhanishia Smith | Registered Nurse | Highway 264 Mile Pot 388, Polacca, AZ 86042 | 2013-01-02 |
| 1871818492 | Stacy Talahytewa II | Radiologic Technologist | Hwy 264 Mile Post 388, Polacca, AZ 86042 | 2010-04-07 |
| Find all providers in zip 86042 | ||||
| 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 |
|---|---|---|---|---|
| 1396075198 | Ruth Ana Williams | Dental Hygienist | Hwy 264 Mm388, Polacca, AZ 86042-4000 | 2009-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760096085 | Jerry Lee Collins Jr. | Dental Hygienist | 5205 E Cortland Blvd, Flagstaff, AZ 86004-9362 | 2020-09-03 |
| 1417560608 | Nicholette Congdon | Dental Hygienist | 208 E Knoles Drive, Flagstaff, AZ 86011-0001 | 2020-08-26 |
| 1093328437 | Ryan M Fisher | Dental Hygienist | 3300 S Gila Dr Apt 1, Flagstaff, AZ 86005-6537 | 2020-08-25 |
| 1609484369 | Sarah Lewallen | Dental Hygienist | 14804 N Cave Creek Rd # 105, Phoenix, AZ 85032-4945 | 2020-07-20 |
| 1033735402 | Denise Muesch Helm | Dental Hygienist | 1320 S Hilltop Ln, Cornville, AZ 86325-5143 | 2020-06-22 |
| 1134786726 | Lisa Dawn Russo | Dental Hygienist | 2855 E Blackhawk Ct, Gilbert, AZ 85298-1003 | 2019-05-20 |
| 1093274466 | Sarah Carter | Dental Hygienist | 801 N Wilmot Rd Ste B1, Tucson, AZ 85711-1708 | 2019-03-15 |
| 1679042378 | Jessica Marie Florez | Dental Hygienist | 12425 W Bell Rd Ste 120, Surprise, AZ 85378-9022 | 2018-11-26 |
| 1467921478 | Amy M Fulps | Dental Hygienist | 235 W Catalina Dr, Safford, AZ 85546-2537 | 2018-11-19 |
| 1649765868 | Kaitlyn April Ornelas | Dental Hygienist | 228 London Bridge Rd, Lake Havasu City, AZ 86403-4685 | 2018-06-29 |
| Find all providers with the same taxonomy | ||||
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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.