Paula Marie Bourassa, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

9594 Issued in TN

Practice address

4820 Asheville Hwy
Knoxville, TN 37914-4252

Phone

(548) 525-6995

NPI assigned

Mar 26, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brian Rich DMD

  • Dental Clinic/Center
  • Knoxville, TN
  • NPI 1144918467
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1648252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648252800000",
    "number": "1427708049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4819 SKYLINE DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379144216",
            "telephone_number": "603-533-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 ASHEVILLE HWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379144252",
            "telephone_number": "548-525-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURASSA",
        "first_name": "PAULA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-26",
        "last_updated": "2022-03-26",
        "certification_date": "2022-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "TN",
            "license": "9594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heydon Bouldin
• Reid Boulet, DDS, MSC
• Boulevard ENT Surgery Center LLC
• Kate Bounds, NP
• Matthew Wilson Bounds, MD
• Deanna Bourke, BA
• James Thurman Bourland
• Cassandra Bouvia
• Gelalecia Shkyli Bowden
• Donald Keven Bowdle, DDS

• Dental Hygienist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Dental Hygienist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.