LORI PRESCOTT (NPI# 1902954282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902954282 |
| Entity Type | Individual |
| Full Name | LORI PRESCOTT |
| Practice Address |
340 Magnolia Cir Tyndall Afb FL 32403-5604 |
| Mailing Address |
319 Hidden Island Dr Panama City Beach FL 32408-7459 |
| Practice Telephone | 8502837574 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH19316 | FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508093667 | Lori S Prescott | Chiropractor | 33 Creek Rd, Suite C-320, Irvine, CA 92604-4791 | 2009-06-16 |
| 1700062080 | Lori Ann Prescott | Nurse Anesthetist, Certified Registered | 3901 Rainbow Blvd, Kansas City, KS 66103 | 2008-01-16 |
| Street Address |
340 MAGNOLIA CIR |
| City | TYNDALL AFB |
| State | FL |
| Zip Code | 32403-5604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356335319 | Scott Mckim | Optometrist | 340 Magnolia Cir, Tyndall Afb, FL 32403-5604 | 2005-09-07 |
| 1215577127 | Sherri Lynn Kelley | Pharmacist | 340 Magnolia Cir, Tyndall Afb, FL 32403-5604 | 2020-01-08 |
| 1285275180 | Tyrome Laron Brown Jr. | Pharmacist | 340 Magnolia Cir, Tyndall Afb, FL 32403-5604 | 2019-10-01 |
| 1528542297 | Mara Sturk | Psychologist | 340 Magnolia Cir, Tyndall Afb, FL 32403-5604 | 2018-09-19 |
| 1619488806 | Clairissa Bradford | Social Worker | 340 Magnolia Cir, Tyndall Afb, FL 32403-5604 | 2017-10-16 |
| 1205371069 | Sarah Woodside | Surgery | 340 Magnolia Cir, Tyndall Afb, FL 32403-5604 | 2017-01-03 |
| 1982053617 | Zachary Flink | Dentist | 340 Magnolia Cir, Tyndall Afb, FL 32403-5604 | 2016-06-03 |
| 1861853533 | Jessica M Barton | Dentist | 340 Magnolia Cir, Tyndall Afb, FL 32403-5604 | 2016-03-09 |
| 1841668001 | David Morse | Pharmacist | 340 Magnolia Cir, Tyndall Afb, FL 32403 | 2015-09-04 |
| 1083096838 | Christopher Davis IIi | Physician Assistant | 340 Magnolia Cir, Tyndall Afb, FL 32403-5604 | 2015-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326408063 | Nathaniel Criddle | Dentist | 325 Aerospace Medicine Sq/sgpd, 340 Magnolia Circle Bldg 1465, Tyndall Afb, FL 32403 | 2016-02-23 |
| 1952730491 | Erick Laron Jackson | Physical Therapist | 325 Mdg/physical Therapy, 340 Magnolia Circle, Tyndall Afb, FL 32403 | 2013-11-05 |
| 1972830701 | Quan Tram | Pharmacist | 340 Magnolia Cirlcle, Tyndall Afb, FL 32403 | 2009-11-16 |
| 1952473308 | Robert Allen Frick | Family Medicine | 325th Medical Group 340 Magnolia Circle, Tyndall Afb, Panama City, FL 32403 | 2006-11-14 |
| 1285733907 | 325th Medical Group Sgsl | Military/U.S. Coast Guard Pharmacy | Magnolia Circle, Tyndall Afb, FL 32403 | 2006-09-21 |
| 1093737272 | Walter Edward Calvo | Social Worker | Bldg 1305 Suwannee Ave, Tyndall Afb, FL 32403 | 2006-07-24 |
| 1790727865 | Michelle Gautreaux | Nutritionist | 325 Mdg, 340 Magnolia Circle, Tyndall Afb, FL 32403 | 2006-06-12 |
| 1568436962 | 325 Mdg | Psychologist | 325 Mdg Bldg, 1305 Suwannee Ave, Tyndall Afb, FL 32403 | 2006-02-14 |
| 1780658005 | Brant Casford | Radiology | 325 Mdg/sgsar Radiology, Tyndall Afb, FL 32403 | 2006-02-14 |
| 1215911573 | Rama Bhyravabhotla | Physician Assistant | 325 Mdos/sgomf, 340 Magnolia Circle, Tyndall Afb, FL 32403 | 2005-12-01 |
| Find all providers in zip 32403 | ||||
| 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 |
|---|---|---|---|---|
| 1770634321 | Michelle Marie Vanderwal | Dental Hygienist | 340 Magnolia Cir, Bldg 1465, Tyndall Afb, FL 32403-5604 | 2007-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164037453 | Mary Kate Pace | Dental Hygienist | 1115 N Eglin Pkwy, Shalimar, FL 32579-1228 | 2020-09-13 |
| 1578173910 | Kimberly Beck | Dental Hygienist | 18030 Sandtrap Dr, Naples, FL 34114-7596 | 2020-07-31 |
| 1962012328 | Melody Jean Garcia | Dental Hygienist | Navy Medicene Support Command : Medical Staff Services, Bldg H, 2005 Knight Lane, Jacksonville, FL 32221-0140 | 2020-07-31 |
| 1043829385 | Mailyn Cortes | Dental Hygienist | 1134 Sw 12th Ct, Miami, FL 33135-5418 | 2020-07-22 |
| 1841817988 | Polly Ward | Dental Hygienist | 1022 Main St Ste P, Dunedin, FL 34698-5225 | 2020-07-04 |
| 1760007959 | Leanne Crist Nichol | Dental Hygienist | 6957 Boulder Run Loop, Wesley Chapel, FL 33545-4854 | 2020-06-12 |
| 1124641337 | Rhoda P Kublickis | Dental Hygienist | 274 Tropic Dr, Lauderdale By The Sea, FL 33308-5428 | 2020-05-21 |
| 1306468533 | Heather Paul | Dental Hygienist | 8839 Handel Loop, Land O Lakes, FL 34637 | 2020-05-11 |
| 1902426729 | Jose Dalby Contreras | Dental Hygienist | 690 Sw 1st Ct Apt 2319, Miami, FL 33130-2927 | 2020-04-22 |
| 1659991974 | Maggie Cruciata | Dental Hygienist | 974 International Pkwy, Lake Mary, FL 32746-5219 | 2020-04-17 |
| Find all providers with the same taxonomy | ||||
| City | TYNDALL AFB |
| Zip Code | 32403 |
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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.