Active NPI
Jamie Lynne Welch, RDH
- Dental Hygienist
- Odanah, WI
National Provider Identifier
1376835884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 6880-16
- Practice address
- 72718 Maple Street
Bad River Health Clinic Dental
Odanah, WI 54861 - Phone
- (715) 682-7133
- Fax
- (715) 685-7848
- NPI assigned
- May 3, 2011
- Last updated
- May 3, 2011
- 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 | 6880-16 | WI | Primary |
Addresses
Primary practice location
72718 Maple Street
Bad River Health Clinic Dental
Odanah, WI 54861
Mailing address
PO Box 250
Bad River Clinic Billing Office
Odanah, WI 54861-0250
Phone (715) 682-7133
Other names 1
- Miss Jamie Lynne Cook
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 |
|---|---|---|---|
| 6880-16 | WI | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bad River Band of Lake Superior Tribe of Chippewa Indians Wis | Past | Accepting new patients | |
| Bad River Band of Lake Superior Tribe of Chippewa Indians Wis. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Ashland, WI
- NPI 1699701375
-
dba Bad River Clinic Pharmacy
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Ashland, WI
- NPI 1780702829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304380800000",
"number": "1376835884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 250",
"address_2": "BAD RIVER CLINIC BILLING OFFICE",
"city": "ODANAH",
"state": "WI",
"postal_code": "548610250",
"telephone_number": "715-682-7133",
"fax_number": "715-685-7848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72718 MAPLE STREET",
"address_2": "BAD RIVER HEALTH CLINIC DENTAL",
"city": "ODANAH",
"state": "WI",
"postal_code": "54861",
"telephone_number": "715-682-7133",
"fax_number": "715-685-7848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELCH",
"first_name": "JAMIE",
"middle_name": "LYNNE",
"name_prefix": "Mrs.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-03",
"last_updated": "2011-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "WI",
"license": "6880-16",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAMIE",
"last_name": "COOK",
"middle_name": "LYNNE",
"prefix": "MISS",
"credential": "RDH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Odanah, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.