Lizabeth L. Jamison, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH539 Issued in NM

Practice address

State Rd. 75 #15136
El Centro Family Health Penasco Dental
Penasco, NM 87553-0516

Phone

(575) 587-2809

Fax

(575) 587-2605

NPI assigned

Oct 10, 2011

Last updated

Jul 5, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372982400000",
    "number": "1447534318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 158",
            "address_2": "538 N. PASEO DE ONATE",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875320158",
            "telephone_number": "505-753-7218",
            "fax_number": "505-753-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STATE RD. 75 #15136",
            "address_2": "EL CENTRO FAMILY HEALTH PENASCO DENTAL",
            "city": "PENASCO",
            "state": "NM",
            "postal_code": "875530516",
            "telephone_number": "575-587-2809",
            "fax_number": "575-587-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMISON",
        "first_name": "LIZABETH",
        "middle_name": "L.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-10",
        "last_updated": "2013-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NM",
            "license": "DH539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Garcia, LCSW-S
• Lori Beth Gomez, LMSW, LADAC
• David N Gould, PA-C
• Carrrian Marie Hamilton
• Michelle Hamilton
• Mas Comunidad
• Shannon Monique Medina
• Rachel Moore, RDH
• Douglas A. North, PA-C
• Mia G Pacheco, LMSW

• Dental Hygienist in Penasco, NM
• Providers in Penasco, NM by specialty
• Dental Hygienist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2013; 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.