Kathryn J Housh, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

2023014634 Issued in MO

Practice address

2209 Oak Ridge Dr
Neosho, MO 64850-9092

Phone

(417) 451-0977

Fax

(417) 451-7094

NPI assigned

Apr 26, 2023

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

Other names 1

• Kathryn J Marble Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Ozark Tri-County Health Care Consortium

  • Federally Qualified Health Center (FQHC)
  • Neosho, MO
  • NPI 1013368984
  NPD
• Ozark Tri-County Health Care Consortium

  • Federally Qualified Health Center (FQHC)
  • Joplin, MO
  • NPI 1649837444
  NPD (past)

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1518655604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 MACY DR",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648503102",
            "telephone_number": "417-214-2158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 OAK RIDGE DR",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648509092",
            "telephone_number": "417-451-0977",
            "fax_number": "417-451-7094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSH",
        "first_name": "KATHRYN",
        "middle_name": "J",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MO",
            "license": "2023014634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "MARBLE",
            "middle_name": "J",
            "credential": "RDH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kyslea Ann Hester, OTR/L
• Amy Hillmon
• Hillside Family Dental
• Kelsey Lynn Hobbs, DNP, APRN
• Ernest Samuel Holmes IV, MD
• Kathleen Howe
• Erika Michelle Jennings, PTA
• Jessica Laveroni Raye Jessica Laveroni
• John a. Yuhas, M.D., P.C.
• Chelsea Jolley, OTA

• Dental Hygienist in Neosho, MO
• Providers in Neosho, MO by specialty
• Dental Hygienist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.