Julie Elizabeth Riesen, DENTAL HYGENIST

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

775 Issued in NE

Practice address

221 Chadron Ave
Chadron, NE 69337-2347

Phone

(308) 432-8124

Fax

(308) 432-8126

NPI assigned

Jun 24, 2010

Last updated

Jun 24, 2010By 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

Practice roles

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

• Community Action Partnership of Western Nebraska

  • Federally Qualified Health Center (FQHC)
  • Gering, NE
  • NPI 1437261211
  NPD (past)

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277337600000",
    "number": "1851602833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 PINEVIEW RD",
            "city": "CHADRON",
            "state": "NE",
            "postal_code": "693375503",
            "telephone_number": "308-432-5123",
            "fax_number": "308-432-8126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 CHADRON AVE",
            "city": "CHADRON",
            "state": "NE",
            "postal_code": "693372347",
            "telephone_number": "308-432-8124",
            "fax_number": "308-432-8126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIESEN",
        "first_name": "JULIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "DENTAL HYGENIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-24",
        "last_updated": "2010-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NE",
            "license": "775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Halie Recoy
• Regional West Medical Center
• Caroline Grace Reyes
• Ivo Victor Reynolds III
• Betty Jeanette Rhembrandt
• Christina Ring
• Roberts Counseling Service
• Kelcey Roberts, MS NCC LIMPC LPC-MH
• Sara Renee Royle
• Jackie Rudloff

• Dental Hygienist in Chadron, NE
• Providers in Chadron, NE by specialty
• Dental Hygienist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; 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.