CARL EVAN BENNETT (NPI# 1073150025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073150025 |
| Entity Type | Individual |
| Full Name | CARL EVAN BENNETT |
| Credential | NP |
| Practice Address |
1100 Butte St Redding CA 96001-0852 |
| Mailing Address |
112 Sherman Dr Red Bluff CA 96080-3015 |
| Practice Telephone | 5302445400 |
| Mailing Telephone | 6069236201 |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2019-12-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95013460 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356452254 | Carl Henry Bennett | Chiropractor | 3945 South Nova Road, Port Orange, FL 32127 | 2006-08-31 |
| 1891348827 | Carl Bennett | Social Worker | 6885 Cliffdale Rd Ste 202, Fayetteville, NC 28314-2834 | 2019-07-18 |
| 1376086645 | Carl Bennett | Counselor | 3973 Choctaw Dr, Baton Rouge, LA 70805-6722 | 2016-11-18 |
| 1689959728 | Carl J Bennett | Pharmacist | 8571 Watson Rd, Webster Groves, MO 63119-5218 | 2011-10-20 |
| Street Address |
1100 BUTTE ST |
| City | REDDING |
| State | CA |
| Zip Code | 96001-0852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073580577 | Pavan K Davuluri | Anesthesiology | 1100 Butte St, Redding, CA 96001 | 2006-03-02 |
| 1487255816 | Jessica Ann Kandybe | Registered Nurse | 1100 Butte St, Redding, CA 96001-0852 | 2020-11-03 |
| 1306474135 | Tai Chinnock Moses | Physician Assistant | 1100 Butte St, Redding, CA 96001-0852 | 2020-03-28 |
| 1427604636 | Maria C Morales | Nurse Practitioner | 1100 Butte St, Redding, CA 96001-0852 | 2019-08-13 |
| 1962982165 | Eric Lee Svendsen | Physician Assistant | 1100 Butte St, Redding, CA 96001 | 2018-08-16 |
| 1174017214 | Far Northern Anesthesia Consultants | Anesthesiology | 1100 Butte St, Redding, CA 96001 | 2018-06-21 |
| 1629583018 | Clear Creek Medical Corp | Family Medicine | 1100 Butte St, Redding, CA 96001-0852 | 2017-12-06 |
| 1457879009 | Noah Chutz | Physician Assistant | 1100 Butte St, Redding, CA 96001 | 2017-09-05 |
| 1679007140 | Shasta Regional Emergency Medical Associates, Inc | Emergency Medicine | 1100 Butte St, Redding, CA 96001-0852 | 2017-04-12 |
| 1285185397 | Zachary Periharos | Physician Assistant | 1100 Butte St, Redding, CA 96001-0852 | 2016-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651266 | Vanessa Louise Banda | Social Worker | 1544 Magnolia Avenue, Redding, CA 96001 | 2018-12-21 |
| 1184194672 | Marie Sherrick | Licensed Vocational Nurse | 2030 Elreno Lane, Redding, CA 96001 | 2018-11-28 |
| 1699257857 | Prorehab Physical Therapy and Sports Performance, Inc | Physical Therapist | 3673 Eureka Way, Redding, CA 96001 | 2018-09-05 |
| 1316456833 | Jennifer Rose Goehring | Counselor | 1310 Continental Street, Redding, CA 96001 | 2017-09-27 |
| 1891224440 | Audrey Cutler | Social Worker | 1313 Yuba St., Redding, CA 96001 | 2017-06-07 |
| 1184167991 | Calafia Holdings LLC | Skilled Nursing Facility | 1836 Gold Street, Redding, CA 96001 | 2016-11-28 |
| 1194272369 | Shasta County | Clinic/Center | 2950 Polk Street, Rooms 2, 3, 4, Redding, CA 96001 | 2016-09-06 |
| 1417329236 | Shari Hayden | Specialist/Technologist, Other | 2111 Air Park Dr, Redding, CA 96001 | 2015-10-21 |
| 1679951982 | Shasta Hearing Aids | Health Maintenance Organization | 900 Butte St, Redding, CA 96001 | 2015-05-07 |
| 1073919171 | Native American Mental Health Services Corporation | Psychiatry & Neurology | 1742 Oregon Street, Redding, CA 96001 | 2014-11-17 |
| Find all providers in zip 96001 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184124588 | Marla Elkins Advanced Practice Registered Nursing Inc. | Nurse Practitioner | 691 Maraglia St Ste C, Redding, CA 96002-1029 | 2018-02-13 |
| 1033639661 | Laurel Bennett | Nurse Practitioner | 317 Lake Blvd Ste A, Redding, CA 96003-2504 | 2017-06-24 |
| 1619406287 | Clark Joseph Tobler | Nurse Practitioner | 2510 Aipark Dr, Ste 301, Redding, CA 96001-2462 | 2017-06-07 |
| 1174069306 | Dorris Mendonca | Nurse Practitioner | 100 E Cypress Ave, Redding, CA 96002-0162 | 2017-01-11 |
| 1376981845 | Mark James Schneider | Nurse Practitioner | 1035 Placer St., Redding, CA 96001-4242 | 2013-06-06 |
| 1356613293 | Stephanie Stringfield | Nurse Practitioner | 1920 California St., Suite A, Redding, CA 96001-1943 | 2012-02-08 |
| 1942457676 | Kelie Ann Mercier | Nurse Practitioner | 850 Industrial St 100, Redding, CA 96002-0501 | 2008-08-25 |
| 1275568768 | Nurse Practitioner Housecalls Medical Corporation | Nurse Practitioner | 213 Shadowrun Ct, Redding, CA 96003-2173 | 2006-07-12 |
| 1386633816 | Julie Lynn Winter | Nurse Practitioner | 1755 Court St, Redding, CA 96001-1721 | 2005-10-18 |
| 1417569575 | Breanna Marie Lazar | Nurse Practitioner | 1035 Placer St, Redding, CA 96001-1170 | 2020-08-20 |
| Find all providers in REDDING | ||||
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| 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.