LISA MCMILLIAN (NPI# 1912329558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912329558 |
| Entity Type | Individual |
| Full Name | LISA MCMILLIAN |
| Practice Address |
409 Custer Way Se Ste D Tumwater WA 98501-3300 |
| Mailing Address |
Po Box 34703 Seattle WA 98124-1703 |
| Practice Telephone | 3605708016 |
| Practice Fax Number | 3605708275 |
| Mailing Telephone | 2067643335 |
| Mailing Fax Number | 2067640489 |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2014-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH00007623 | WA | Dental Providers |
| Street Address |
409 CUSTER WAY SE STE D |
| City | TUMWATER |
| State | WA |
| Zip Code | 98501-3300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548590946 | Katrina Lindauer | Counselor | 409 Custer Way Se Ste D, Tumwater, WA 98501-3300 | 2010-01-06 |
| 1699187351 | Loi Tran | Counselor | 409 Custer Way Se Ste D, Tumwater, WA 98501-3300 | 2014-05-28 |
| 1407291826 | Jared David Langton | Counselor | 409 Custer Way Se Ste D, Tumwater, WA 98501-3300 | 2013-04-30 |
| 1316211964 | Jamie Rayola Wright | Counselor | 409 Custer Way Se Ste D, Tumwater, WA 98501-3300 | 2012-02-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124651880 | Marie T Bendig | Counselor | 900 Fairview St Se, #b5, Olympia, WA 98501 | 2020-02-20 |
| 1205469970 | Thurston County Fire Protection Dist 6 | Ambulance | 8047 Normandy St. Se, Olympia, WA 98501 | 2020-02-20 |
| 1134768799 | Living Sound Therapeutic Services, Pllc | Counselor | 729 Devoe St Se, Olympia, WA 98501 | 2019-12-31 |
| 1336797273 | Sea-mar Community Health Center | Dentist | 6004 Capitol Ave Sw, Tumwater, WA 98501 | 2019-09-03 |
| 1093272841 | Eye Love Pllc | Optometrist | 3409 Capitol Blvd Se, Tumwater, WA 98501 | 2019-02-28 |
| 1356815062 | Kerri Wright | Marriage & Family Therapist | 208 Lee St Sw Ste 108, Tumwater, WA 98501 | 2019-01-15 |
| 1952881161 | Paige Gautreaux | Peer Specialist | 908 5th Avenue Se, Olympia, WA 98501 | 2018-08-16 |
| 1548773997 | Carla Van Dam | Psychologist | 2620 Rw Johnson Blvd Sw Suite 204, Tumwater, WA 98501 | 2017-11-08 |
| 1528577202 | Ronald John San Nicolas | Counselor | 1011 10th Ave, Olympia, WA 98501 | 2017-09-25 |
| 1063964187 | Emily Rapesak | Pharmacist | 500 Cleveland Ave Se, Tumwater, WA 98501 | 2016-10-25 |
| Find all providers in zip 98501 | ||||
| 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 |
|---|---|---|---|---|
| 1659425494 | Richard L Tyner | Dental Hygienist | 409 Custer Way Se, Suite C, Tumwater, WA 98501-3350 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807755 | Karen Sloat Parker | Dental Hygienist | 1014 12th Ave N, Edmonds, WA 98020-2511 | 2020-10-05 |
| 1255948030 | Adisa Salaka | Dental Hygienist | 14335 Simonds Rd Ne Apt A303, Kirkland, WA 98034-9277 | 2020-09-25 |
| 1790391951 | Ann Marie O'connor | Dental Hygienist | 620 Glen St Apt 302, Edmonds, WA 98020-3236 | 2020-09-22 |
| 1396359691 | Lindsey Marie Tennant-moore | Dental Hygienist | 6515 5th Ave Ne Apt 202, Seattle, WA 98115-6451 | 2020-09-03 |
| 1356952568 | Stephanie Kleinbrook | Dental Hygienist | 1455 James St, Bellingham, WA 98225-4943 | 2020-08-11 |
| 1639789787 | Catrice Opichka | Dental Hygienist | 1118 Hilty Ln, Bow, WA 98232-9544 | 2020-08-04 |
| 1487272860 | Diedre Snow Hill | Dental Hygienist | 1950 Pottery Ave Ste 170, Port Orchard, WA 98366-2591 | 2020-07-11 |
| 1922621929 | Rebecca Rose | Dental Hygienist | 4532 Dyes Inlet Rd Nw, Bremerton, WA 98312-1410 | 2020-05-26 |
| 1053946673 | Jessica Maree Carnes | Dental Hygienist | 6505 Nw Cherry Street, Vancouver, WA 98663 | 2020-03-04 |
| 1952933251 | Julie Kristen Dutler | Dental Hygienist | 11572 C St, Jblm, WA 98433 | 2020-02-05 |
| 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.