Kim Marie Sudduth is a Dental Hygienist practicing in Spokane, Washington. The National Provider Identifier (NPI) is #1134943111, which was assigned on November 14, 2024, and the registration record was last updated on November 14, 2024. The practitioner's main practice location is at 203 E Dalke Ave, Spokane, WA 99208-8112; the contact telephone number is 5094448200, and the fax number is 5094340392. The primary taxonomy of Kim Marie Sudduth is Dental Hygienist (124Q00000X). Kim Marie Sudduth is licensed to practice in the state of Washington (#DH00004466).
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.
| NPI | 1134943111 |
| Entity Type | Individual |
| Provider Name | KIM MARIE SUDDUTH |
| Gender | Female |
| Credential | RDH |
| Practice Address |
203 E Dalke Ave Spokane WA 99208-8112 |
| Practice Telephone | 5094448200 |
| Practice Fax Number | 5094340392 |
| Mailing Address |
611 N Iron Bridge Way Spokane WA 99202-4932 |
| Mailing Telephone | 5094448888 |
| Certification Date | 2024-11-14 |
| Enumeration Date | 2024-11-14 |
| Last Update Date | 2024-11-14 |
| Is Sole Proprietor | N |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH00004466 | WA |
| Code | 124Q00000X |
| Taxonomy | Dental Hygienist |
| Classification | Dental Hygienist |
| Grouping | Dental Providers |
| Definition: 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. |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Breanna Kaitlyn Cochran | 9625 Prominent Pt Ste 100, Colorado Springs, CO 80924-5005 | Dental Hygienist | 2025-01-09 |
| Dafiney Thomas | 320 E Hospital Rd, Fort Eisenhower, GA 30905 | Dental Hygienist | 2025-01-08 |
| Ann Marie Martinez | 29 Portola Ln, Santa Barbara, CA 93105-4143 | Dental Hygienist | 2025-01-06 |
| Sarah Jacobson | 128 Old Abe Rd, Lac Du Flambeau, WI 54538-9386 | Dental Hygienist | 2025-01-06 |
| Natalie Kohner | 3161 Northdale Blvd Nw, Coon Rapids, MN 55433-1825 | Dental Hygienist | 2025-01-08 |
| Abby Jean Russell | 227 Nw 3rd Ave, Canby, OR 97013-3640 | Dental Hygienist | 2025-01-10 |
| Janet Mendoza Galvan | 5635 W Fort St, Detroit, MI 48209-3154 | Dental Hygienist | 2025-01-07 |
| Alison Marie Murphy | 2600 39th Ave Ne Ste 225, Minneapolis, MN 55421-5052 | Dental Hygienist | 2025-01-09 |
| Dana Le | 7105 Sw Hampton St, Tigard, OR 97223-8314 | Dental Hygienist | 2025-01-07 |
| Mckenzie Simpson | 2000 N Gaines Dr, Clinton, MO 64735-1132 | Dental Hygienist | 2025-01-08 |
| Find all providers with the same taxonomy | |||
| Street Address |
611 N IRON BRIDGE WAY |
| City | SPOKANE |
| State | WA |
| Zip Code | 99202-4932 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Sydney Swenson | 611 N Iron Bridge Way, Spokane, WA 99202-4932 | Registered Nurse | 2021-03-08 |
| Rebecca Ann Hubble | 611 N Iron Bridge Way, Spokane, WA 99202-4932 | Registered Nurse | 2021-05-24 |
| Leann Jean Hasness · Leann Jean Walker | 611 N Iron Bridge Way, Spokane, WA 99202-4932 | Registered Nurse | 2021-06-30 |
| Jenee Springer | 611 N Iron Bridge Way, Spokane, WA 99202-4932 | Registered Nurse | 2021-01-28 |
| Lorraine Rosemarie Madewell | 611 N Iron Bridge Way, Spokane, WA 99202-4932 | Registered Nurse | 2024-09-26 |
| Heidi Denise Bates · Heidi D Stinebaugh | 611 N Iron Bridge Way, Spokane, WA 99202-4932 | Registered Nurse | 2024-10-18 |
| Heidi Carrian Dickinson · Heidi Henry | 611 N Iron Bridge Way, Spokane, WA 99202-4932 | Registered Nurse | 2021-10-19 |
| Holly Sorrels Coon · Holly Renee Sorrels | 611 N Iron Bridge Way, Spokane, WA 99202-4932 | Registered Nurse | 2021-10-19 |
| Lauren Monica Davis | 611 N Iron Bridge Way, Spokane, WA 99202-4932 | Registered Nurse | 2021-06-28 |
| Jennifer Lynn Knipp | 611 N Iron Bridge Way, Spokane, WA 99202-4932 | Registered Nurse | 2023-08-18 |
| Find all providers in the same location | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Stephen Patrick Herney | Frontier Behavioral Health, 107 South Division Street, Spokane, WA 99202 | Marriage & Family Therapist | 2023-07-13 |
| Courtney Otte | 107 East Division Street, Spokane, WA 99202 | Counselor | 2023-06-06 |
| Rose C Brown | Frontier Behavioral Health, 107 South Division Street, Spokane, WA 99202 | Counselor | 2024-07-23 |
| Lindsey Michelle Galvin-White | 103 East 1st Avenue, Spokane, WA 99202 | Social Worker | 2021-08-17 |
| Dilibe Acholonu | 205 E Spokane Falls Blvd, Spokane, WA 99202 | Student in an Organized Health Care Education/Training Program | 2021-10-06 |
| Jon Aziel Gorskikh | Frontier Behavioral Health, 2118 E. Sprague Ave., Spokane, WA 99202 | Student in an Organized Health Care Education/Training Program | 2023-07-14 |
| Gabriela Jean Byrne | 103 East Spokane Falls Boulevard, Spokane, WA 99202 | Family Nurse Practitioner | 2022-04-25 |
| Janna-Nicole Clifford | Frontier Behavioral Health, 107 S. Division Street, Spokane, WA 99202 | Behavior Technician | 2021-01-20 |
| Grace Katharine Nelson | 2112 E Sprague Ave, Spokane, WA 99202 | Student in an Organized Health Care Education/Training Program | 2023-05-16 |
| Emma O Wolfram | 730 N Hamilton Street, Spokane, WA 99202 | Physical Therapist | 2021-02-24 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Tina Marie Sudduth | 14191 Yale St, Hesperia, CA 92344-8290 | Low-Risk Neonatal Registered Nurse | 2011-01-12 |
| Brandon Sudduth | 11406 San Jose Blvd Ste 1, Jacksonville, FL 32223-7953 | Optometrist | 2013-08-13 |
| Melissa Ann Sudduth | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | Personal Care Attendant | 2020-11-24 |
| Tene Sudduth | 3035 S Maryland Pkwy, Las Vegas, NV 89109-2200 | Social Worker | 2023-07-28 |
| Deborah F Sudduth | 801 Childrens Center Rd Sw, Leesburg, VA 20175-2545 | Social Worker | 2007-03-29 |
| Elizabeth J Sudduth | 2415 Parkwood Dr, Brunswick, GA 31520-4722 | Infectious Disease Physician | 2006-11-17 |
| Lamar Sudduth | 10053 Solid Lime St, Las Vegas, NV 89183-7215 | Behavioral Analyst | 2012-11-26 |
| Mary Yvonne Sudduth · Mary Sudduth Arnold | 3915 Golden Valley Road, Courage Center, Golden Valley, MN 55422-4298 | Clinical Social Worker | 2006-06-20 |
| Kathleen Marie Lovett-Sudduth | 1200 Concord Ave Ste 450, Concord, CA 94520-4959 | Marriage & Family Therapist | 2019-02-21 |
| Samantha Kay Sudduth | 1881 Pine St, Saint Louis, MO 63103-2264 | Speech-Language Pathologist | 2021-08-27 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |