CAROLYN BONITA BENNETT (NPI# 1225685548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225685548 |
| Entity Type | Individual |
| Full Name | CAROLYN BONITA BENNETT |
| Practice Address |
808 Georgia Ave Fort Pierce FL 34950-9348 |
| Practice Telephone | 7722162815 |
| Mailing Telephone | 7722162815 |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2019-08-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 9999999999 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275676850 | Carolyn Barbara Bennett | Occupational Therapist | 25 Proffitt St, Cookeville, TN 38501-3434 | 2007-02-14 |
| 1407881352 | Carolyn S Bennett | Psychologist | 1035 San Pablo Ave Ste 8, Albany, CA 94706-2277 | 2006-07-11 |
| 1417916768 | Carolyn M Bennett | Pediatrics | 1450 Clifton Rd Ne, 4th Floor, Atlanta, GA 30322-1053 | 2006-03-23 |
| 1952388332 | Carolyn Sydnee Bennett | Audiologist | 3651 Wall Ave Ste 1127, Ogden, UT 84405-2014 | 2005-12-28 |
| 1063406726 | Carolyn Bennett | Audiologist | 200 Yale Ave, Morton, PA 19070-1918 | 2005-09-08 |
| 1972120871 | Carolyn Annette Bennett | Registered Nurse | Ralph H Johnson Va Medical Center, 109 Bee Street, Charleston, SC 29401-5799 | 2020-06-26 |
| Street Address |
808 GEORGIA AVE |
| City | FORT PIERCE |
| State | FL |
| Zip Code | 34950-9348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659853018 | New Day Counseling & Wellness, LLC | Clinic/Center | 130 S Indian River Drive Suite 202, Fort Pierce, FL 34950 | 2018-09-03 |
| 1548749351 | Jaber's Pharmacy, Inc. | Pharmacy | 2210 Orange Ave, Fort Pierce, FL 34950 | 2018-08-13 |
| 1386139699 | Pas Substance Abuse, Inc. | Substance Abuse Rehabilitation Facility | 2017 Avenue D, Fort Pierce, FL 34950 | 2018-06-28 |
| 1629573134 | Southeastern Dme LLC | Durable Medical Equipment & Medical Supplies | 200 S Indian River Dr Ste 300, Fort Pierce, FL 34950 | 2018-03-27 |
| 1962903666 | Serenity Dme LLC | Durable Medical Equipment & Medical Supplies | 111 N 2nd St Ste 101, Fort Pierce, FL 34950 | 2018-02-27 |
| 1417463068 | Ryan Nippes | Counselor | 1302 N Lawnwood Cr, Suite B, Fort Pierce, FL 34950 | 2017-12-19 |
| 1639685282 | Valencia Worrell | Counselor | 1302 N Lswnwood Cr, Suite B, Fort Pierce, FL 34950 | 2017-12-19 |
| 1194173153 | Angel French | Massage Therapist | 101 North Us1, Suite 117, Fort Pierce, FL 34950 | 2016-06-01 |
| 1780052951 | Alison Hess | Physician Assistant | 1700 S. 23rd St, Fort Pierce, FL 34950 | 2015-09-04 |
| 1629329784 | Dr. Rhaina A Smeds, Psyd Inc. | Psychologist | 100 Ave A, Ste 2d, Ft. Pierce, FL 34950 | 2012-09-28 |
| Find all providers in zip 34950 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194267039 | Sharonda Blake | Technician | 716 S 7th St, Fort Pierce, FL 34950-8346 | 2016-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285232967 | Amanda Darnell O'berry | Technician | 6531 Berryhill Rd, Milton, FL 32570-6822 | 2020-10-14 |
| 1598363590 | Bergeline Lexis | Technician | 8836 Viking Ln, Lakeland, FL 33809-1751 | 2020-10-12 |
| 1629685201 | Lynda Wilkes Dekold | Technician | 4110 Sw 63rd Blvd, Gainesville, FL 32608-3924 | 2020-09-28 |
| 1134736952 | Robin Lynn Knight | Technician | 1125 Anolas Way, Lutz, FL 33548-2902 | 2020-09-25 |
| 1689289969 | Golden Life Senior Services LLC | Technician | 2595 Sanford Ave, Sanford, FL 32773-4606 | 2020-09-13 |
| 1760096945 | Hermina Cyntje | Technician | 13060 Waterbourne Dr, Gibsonton, FL 33534-3908 | 2020-09-03 |
| 1154933273 | Erica Petithomme | Technician | 3935 Ne 22nd Ave, Cape Coral, FL 33909-3282 | 2020-08-19 |
| 1063021889 | Stacey Wilcox | Technician | 1447 Nw Wayne Pl Apt 105, Lake City, FL 32055-6107 | 2020-07-28 |
| 1073130498 | Maureen Ann Stewart | Technician | 189 Citrus Trail Circle, Boynton Beach, FL 33436 | 2020-07-01 |
| 1689290264 | Amanda Michelle White | Technician | 938 Geary St Sw, Palm Bay, FL 32908-4206 | 2020-06-19 |
| Find all providers with the same taxonomy | ||||
| City | FORT PIERCE |
| Zip Code | 34950 |
Please comment or provide details below to improve the information on CAROLYN BONITA BENNETT.
| 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.