KELLIE ANDERSON (NPI# 1912266438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912266438 |
| Entity Type | Individual |
| Full Name | KELLIE ANDERSON |
| Credential | CDA, EFDA |
| Practice Address |
2300 Lancaster Dr Ne Salem OR 97305-1223 |
| Practice Telephone | 5033704313 |
| Practice Fax Number | 5033755737 |
| Mailing Telephone | 5033704313 |
| Mailing Fax Number | 5033755737 |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2012-05-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | 120376 | OR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720216906 | Kellie Coplin Anderson | Nurse Practitioner | 401 Lowell Dr Se Ste 5, Huntsville, AL 35801 | 2009-06-26 |
| 1295939528 | Kellie Dee Anderson | Physical Therapist | 5180 N Palm Ave, # 102, Fresno, CA 93704-2229 | 2007-06-12 |
| 1760950166 | Kellie Anne Anderson | Counselor | 5901 N Lidgerwood St Ste 115, Spokane, WA 99208-1122 | 2018-11-05 |
| 1073005500 | Kellie Elizabeth Anderson | Counselor | 4131 University Blvd S Ste 15, Jacksonville, FL 32216-4346 | 2018-05-31 |
| 1346413887 | Kellie Lynn Anderson | Case Manager/Care Coordinator | 118 N Chestnut St, Beloit, KS 67420-2742 | 2008-04-04 |
| 1972637445 | Kellie Mack Anderson | Marriage & Family Therapist | 18302 Irvine Blvd, Ste. 300, Tustin, CA 92780-3435 | 2007-03-15 |
| Street Address |
2300 LANCASTER DR NE |
| City | SALEM |
| State | OR |
| Zip Code | 97305-1223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043234636 | Clarissa Stone | Dental Hygienist | 2300 Lancaster Dr Ne, Salem, OR 97305-1223 | 2006-07-27 |
| 1295366698 | Noeun Nom | Dental Assistant | 2300 Lancaster Dr Ne, Salem, OR 97305-1223 | 2020-02-04 |
| 1427689843 | Cynthia Younkin | Dental Assistant | 2300 Lancaster Dr Ne, Salem, OR 97305-1223 | 2020-02-04 |
| 1356981203 | Sharon Kay Rice | Dental Assistant | 2300 Lancaster Dr Ne, Salem, OR 97305-1223 | 2020-01-08 |
| 1194374264 | Jennifer Sierra-barrera | Dental Hygienist | 2300 Lancaster Dr Ne, Salem, OR 97305-1223 | 2019-09-10 |
| 1518512847 | John Lopez | Dental Hygienist | 2300 Lancaster Dr Ne, Salem, OR 97305-1223 | 2019-08-05 |
| 1972055101 | Kaiser Foundation Health Plan of The Northwest | Dentist | 2300 Lancaster Dr Ne, Salem, OR 97305-1223 | 2016-11-04 |
| 1265772859 | Katherine Ann Liermann | Dental Hygienist | 2300 Lancaster Dr Ne, Salem, OR 97305-1223 | 2013-02-19 |
| 1013255215 | Ashly Johnson | Dental Hygienist | 2300 Lancaster Dr Ne, Salem, OR 97305-1223 | 2013-01-22 |
| 1639422843 | Kayla E Treharne | Dental Hygienist | 2300 Lancaster Dr Ne, Salem, OR 97305-1223 | 2012-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821639147 | Christine Ann Featherstone | Social Worker | Chemawa Indian Health Center, 3750 Chemawa Road, Salem, OR 97305 | 2019-10-08 |
| 1962996553 | Erin Ann Wakefield | Non-emergency Medical Transport (VAN) | 2425 Fisher Rd Ne, Salem, OR 97305 | 2018-06-18 |
| 1770002271 | Traci L Lee | Case Manager/Care Coordinator | 3876 Beverly Ave Bldg G, Salem, OR 97305 | 2017-09-15 |
| 1952825762 | Matthew Paul Martin | Dentist | 2737 Lancaster Dr Ne Ste 150, Salem, OR 97305 | 2017-08-02 |
| 1043750367 | Sherri King | Physical Therapy Assistant | 4696 Reimann St Ne, Salem, OR 97305 | 2017-03-06 |
| 1760861314 | Amara Lenore Peterson | Counselor | 4347 Sunnyview Rd Ne, Salem, OR 97305 | 2015-05-28 |
| 1720467954 | Heather Rose | Community Health Worker | 4347 Sunnyview Road Ne, Salem, OR 97305 | 2015-05-20 |
| 1588057004 | Carmen Heidecke | Counselor | 4347 Sunnyview Rd. Ne, Salem, OR 97305 | 2015-03-08 |
| 1629476825 | Bryan James Greenaway | Audiologist | 3857 Wolverine St Ne Ste C-16, Salem, OR 97305 | 2014-12-21 |
| 1710300322 | Christopher Ryan | Counselor | 4385 Sunnyview Road Ne, Salem, OR 97305 | 2014-02-03 |
| Find all providers in zip 97305 | ||||
| Taxonomy Code | 126800000X |
| Grouping | Dental Providers |
| Classification | Dental Assistant |
| An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134609050 | Andrea P Merryman | Dental Assistant | 5135 Skyline Rd South, Salem, OR 97306 | 2018-08-20 |
| 1245590553 | Thora Jane Stacy | Dental Assistant | 2300 N.e. Lacncaster Dr., Salem, OR 97303 | 2012-05-21 |
| 1922137504 | Charlene Garbutt | Dental Assistant | 5135 Skyline Rd. S., Salem, OR 97306 | 2007-03-02 |
| 1417085747 | Michelle West | Dental Assistant | 5135 Skyline R S, Salem, OR 97306 | 2007-02-28 |
| 1295366698 | Noeun Nom | Dental Assistant | 2300 Lancaster Dr Ne, Salem, OR 97305-1223 | 2020-02-04 |
| 1427689843 | Cynthia Younkin | Dental Assistant | 2300 Lancaster Dr Ne, Salem, OR 97305-1223 | 2020-02-04 |
| 1629608070 | Lisa Renea Carr | Dental Assistant | 2400 Lancaster Dr Ne, Salem, OR 97305-1221 | 2020-01-23 |
| 1285264978 | Stacy Marie Dunnihoo | Dental Assistant | 5135 Skyline Rd S, Salem, OR 97306-9427 | 2020-01-22 |
| 1407486558 | Heidi Kae Mort | Dental Assistant | 5135 Skyline Rd S, Salem, OR 97306-9427 | 2020-01-16 |
| 1356981203 | Sharon Kay Rice | Dental Assistant | 2300 Lancaster Dr Ne, Salem, OR 97305-1223 | 2020-01-08 |
| Find all providers in SALEM | ||||
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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.