Carol Ann Patterson, DENTAL HYGIENIST

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

020008907 Issued in IL

Practice address

12647 Olive Blvd Ste 600
Saint Louis, MO 63141-6346

Phone

(800) 325-3982

Fax

(877) 685-9880

NPI assigned

Jan 15, 2016

Last updated

Jan 15, 2016By 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 2

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": "1452816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452816000000",
    "number": "1811354269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12647 OLIVE BLVD STE 600",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416346",
            "telephone_number": "800-325-3982",
            "fax_number": "877-685-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12647 OLIVE BLVD STE 600",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416346",
            "telephone_number": "800-325-3982",
            "fax_number": "877-685-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "credential": "DENTAL HYGIENIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-15",
        "last_updated": "2016-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "FL",
            "license": "DH11199",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "IL",
            "license": "020008907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Ann Patten, LCSW
• Patterson Counseling, LLC (Nicole Patterson, LCSW)
• Alyssa Patterson, NNP-BC
• Amber Marie Patterson, BSN,MSN,APRN, FNP-BC
• Brenda M Patterson, FNP
• Charles Ryan Patterson, LCSW
• George A Patterson, MD
• Jacqueline Davis Patterson, PT, DPT
• Jada Olivia Patterson
• Jenny Elizabeth Patterson

• Dental Hygienist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Dental Hygienist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; 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.