BETH K BENNINGTON


Address: 1200 Lagoon Ave, Minneapolis, MN 55408-2077
Phone: 6128236300

BETH K BENNINGTON (NPI# 1063482933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063482933
Entity Type Individual
Full Name BETH K BENNINGTON
Credential WHCNP, CNM
Practice Address 1200 Lagoon Ave
Minneapolis
MN 55408-2077
Mailing Address 626 Pond View Dr
Mendota Heights
MN 55120-1925
Practice Telephone 6128236300
Mailing Telephone 6514159563
Enumeration Date 2006-01-24
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 363LW0102X Nurse Practitioner
Specialization: Women's Health
R076808-3 MN Physician Assistants & Advanced Practice Nursing Providers
X 367A00000X Advanced Practice Midwife R076808-3 MN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MEDICA 07-03940 01
PREFERRED ONE 1033360 01
UCARE 105724 01
MN BCBS MN 842S5BE 01
HEALTH PARTNERS HP15878 01
AMERICA'S PPO (ARAZ) 2139398 01
SIOUX VALLEY HEALTH PLAN 36467 01

Office Location

Street Address 1200 LAGOON AVE
City MINNEAPOLIS
State MN
Zip Code 55408-2077

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164401527 Planned Parenthood Minnesota, North Dakota, South Dakota Specialist 1200 Lagoon Ave, Minneapolis, MN 55408-2077 2006-01-13
1023564150 Melissa Lee Jones Nurse Practitioner 1200 Lagoon Ave, Minneapolis, MN 55408-2077 2016-08-29
1750759502 Courtney Kiesow Nurse Practitioner 1200 Lagoon Ave, Minneapolis, MN 55408-2077 2015-09-10
1245461441 Jessica Thane Zaldivar Nurse Practitioner 1200 Lagoon Ave, Minneapolis, MN 55408-2077 2009-08-05
1821065723 Carol Elizabeth Ball Obstetrics & Gynecology 1200 Lagoon Ave, Minneapolis, MN 55408-2077 2006-03-01
1992776900 Marta Tochacek General Practice 1200 Lagoon Ave, Minneapolis, MN 55408-2077 2006-01-28
1528038106 Amy S Lange Advanced Practice Midwife 1200 Lagoon Ave, Minneapolis, MN 55408-2077 2006-01-25
1003886722 Pamela S.f. Glenn Advanced Practice Midwife 1200 Lagoon Ave, Minneapolis, MN 55408-2077 2006-01-25
1548230196 Phyllis C Wiener Nurse Practitioner 1200 Lagoon Ave, Minneapolis, MN 55408-2077 2006-01-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548870512 Community Solutions Services Inc Counselor 3043 2nd Ave South, Suite 101, Minneapolis, MN 55408 2020-08-05
1356962740 Mohammad Mushtaq Khandwala Student in an Organized Health Care Education/Training Program 2810 Nicollet Avenue South, Minneapolis, MN 55408 2020-04-27
1861012700 Open Arms Group Home LLC Nursing Care 1 W Lake St Suite 165 Unit 7, Minneapolis, MN 55408 2020-04-21
1538710413 Yuejuan Bian Acupuncturist 2743 Lyndale Ave S, Suite 2, Minneapolis, MN 55408 2019-09-23
1710536081 Blu Care Inc Clinic/Center 2910 Pillsbury Ave S Ste 338, Minneapolis, MN 55408 2019-09-09
1417510165 Kau Macador Queeglay Counselor 621 West Lake Street Suite 350 Lynlake Building, Minneapolis, MN 55408 2019-04-18
1346735875 Nicole S Ehrenberg Social Worker 324 E 35th Street, Minneapolis, MN 55408 2018-06-27
1639681612 American Family Transportation Inc Non-emergency Medical Transport (VAN) 2910 Pillsbury Ave So Suite 434, Minneapolis, MN 55408 2017-10-30
1285181743 Multilingual Word Inc Interpreter 1431 W 32nd St, Minneapolis, MN 55408 2016-09-01
1376906388 Sama Healthcare Family Medicine 2639 Nicollet Ave., Suite 130, Minneapolis, MN 55408 2016-03-29
Find all providers in zip 55408

Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326519646 Kelsey M Thompson Nurse Practitioner 2920 Aldrich Ave S Apt 145, Minneapolis, MN 55408-4275 2018-12-13
1366842734 Meghan Stommes Nurse Practitioner 801 Nicollet Mall Ste 400, Minneapolis, MN 55402-2520 2014-09-03
1831328756 Health Empowerment Institute Nurse Practitioner 2512 W Broadway Ave, Minneapolis, MN 55411-1737 2009-07-13
1174692305 Sandra Lee-hoefs Anderson Nurse Practitioner 33 S 5th St, Suite 400, Minneapolis, MN 55402-1050 2006-11-06
1285607390 Jennifer Elizabeth Smith-otte Nurse Practitioner 121 S 8th St, Suite 600, Minneapolis, MN 55402-2841 2006-02-09
1013987957 Kristine M Alswager Nurse Practitioner 121 E 8th St, Minneapolis, MN 55402 2006-01-24
1396395224 Ann Marie Marshall Nurse Practitioner 918 W Lake St, Minneapolis, MN 55408-2857 2019-09-12
1932646528 Alison Michelle Kadletz Nurse Practitioner 2800 Chicago Ave, Minneapolis, MN 55407-1318 2017-01-20
1023564150 Melissa Lee Jones Nurse Practitioner 1200 Lagoon Ave, Minneapolis, MN 55408-2077 2016-08-29
1174976138 Stephanie Lynn Delkoski Nurse Practitioner 606 24th Ave S, #300, Minneapolis, MN 55454-1455 2016-07-14
Find all providers in MINNEAPOLIS

Competitor

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City MINNEAPOLIS
Zip Code 55408

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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