Active NPI
Joylene Rochelle Neils, RDH
- Dental Hygienist
- Tacoma, WA
National Provider Identifier
1013486760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 60210636
- Practice address
- 3602 6TH Ave Ste 104
Tacoma, WA 98406-5450 - Phone
- (253) 271-9734
- NPI assigned
- Nov 23, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 60210636 | WA | Primary |
Addresses
Primary practice location
3602 6TH Ave Ste 104
Tacoma, WA 98406-5450
Mailing address
4402 86TH Ave W
University Place, WA 98466-7545
Phone (253) 441-0943
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60210636 | WA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542931200000",
"number": "1013486760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4402 86TH AVE W",
"city": "UNIVERSITY PLACE",
"state": "WA",
"postal_code": "984667545",
"telephone_number": "253-441-0943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3602 6TH AVE STE 104",
"city": "TACOMA",
"state": "WA",
"postal_code": "984065450",
"telephone_number": "253-271-9734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEILS",
"first_name": "JOYLENE",
"middle_name": "ROCHELLE",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-23",
"last_updated": "2018-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "WA",
"license": "60210636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.