Active NPI
Angela Shevchenko
- Dental Hygienist
- Vancouver, WA
National Provider Identifier
1679234652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH61207275
- Practice address
- 19005 SE 34TH St
Vancouver, WA 98683-1450 - Phone
- (360) 726-6730
- NPI assigned
- Jan 3, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | H7715 | OR | |
| Dental Hygienist | 124Q00000X | DH61207275 | WA | Primary |
Addresses
Primary practice location
19005 SE 34TH St
Vancouver, WA 98683-1450
Mailing address
19005 SE 34TH St
Vancouver, WA 98683-1450
Phone (360) 726-6730
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 |
|---|---|---|---|
| H7715 | OR | MD | Dental Hygienist |
| DH61207275 | WA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641168000000",
"number": "1679234652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19005 SE 34TH ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986831450",
"telephone_number": "360-726-6730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19005 SE 34TH ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986831450",
"telephone_number": "360-726-6730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEVCHENKO",
"first_name": "ANGELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-03",
"last_updated": "2022-01-03",
"certification_date": "2022-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "OR",
"license": "H7715",
"primary": false
},
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "WA",
"license": "DH61207275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.