CATHERINE ELIZABETH BENNETT (NPI# 1356763676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356763676 |
Entity Type | Individual |
Full Name | CATHERINE ELIZABETH BENNETT |
Credential | APRN |
Practice Address |
9302 Medical Plaza Drive Suite C Agape Senior Primary Care, Inc. Charleston SC 29406-9142 |
Mailing Address |
1624 Main Street Agape Senior Primary Care, Inc Columbia SC 29201-2818 |
Practice Telephone | 8004910909 |
Practice Fax Number | 8433532581 |
Mailing Telephone | (803) 723-2283 |
Mailing Fax Number | 8037539102 |
Enumeration Date | 2014-01-07 |
Last Update Date | 2017-07-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 81419 | SC | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
18419 | SC | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
81419 | SC | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
81419 | SC | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
81419 | SC | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396350781 | Catherine Ann Bennett | Technician | 1907 W Woodruff Ave, Toledo, OH 43607-1681 | 2020-09-11 |
1811550320 | Catherine Marie Bennett | Dietitian, Registered | 2857 Ne 72nd Ave, Portland, OR 97213-5912 | 2019-04-19 |
1063896249 | Catherine Bennett | Occupational Therapist | 916 Poli St, Ventura, CA 93001-3005 | 2015-07-17 |
1578085056 | Catherine Weston Bennett | Student in an Organized Health Care Education/Training Program | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2017-07-17 |
1427504042 | Catherine Bennett | Nurse Practitioner | 4600 Memorial Dr, Suite 200, Belleville, IL 62226-5368 | 2016-09-01 |
1831431865 | Catherine Bennett | Clinical Nurse Specialist | 1775 Dempster St, Park Ridge, IL 60068-1143 | 2013-03-15 |
1861577967 | Catherine V. Bennett | Counselor | 5480 Baltimore Dr Ste 103, La Mesa, CA 91942-2068 | 2006-10-26 |
1447260054 | Catherine A. Bennett | Nurse Practitioner | 111 Sunnybrook Ct, South Bend, IN 46637-3437 | 2006-08-08 |
Street Address |
9302 MEDICAL PLAZA DRIVE SUITE C AGAPE SENIOR PRIMARY CARE, INC. |
City | CHARLESTON |
State | SC |
Zip Code | 29406-9142 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619043064 | Annemarie Sipkes Donato | Nurse Practitioner | 9302 Medical Plaza Drive Suite C, Ltc Health Solutions, Charleston, SC 29406 | 2006-11-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023622289 | Sara Desmarais | Physical Therapist | 2760 Tricom St, North Charleston, SC 29406 | 2020-09-04 |
1669036448 | Pink Elephant Autism Project | In Home Supportive Care | 8738 Red Oak Drive, Charleston, SC 29406 | 2019-04-26 |
1083171185 | Medical University Hospital Authority | Pharmacy | 2250 Mall Drive, North Charleston, SC 29406 | 2019-02-25 |
1336627371 | Truesdale Medical Center LLC | Internal Medicine | 6296 Rivers Ave., Suite 310, N. Charleston, SC 29406 | 2018-08-01 |
1164914552 | Amanda R Dipiazza | Nurse Anesthetist, Certified Registered | 9330 Medical Plaza Dr Ste E, Charleston, SC 29406 | 2018-06-01 |
1982148490 | Trident Medical Center | Psychiatric Hospital | 9225 C Medical Plaza Drive, Charleston, SC 29406 | 2016-12-19 |
1649726217 | First Choice Counseling Services, LLC | Community/Behavioral Health | 2245 Greenridge Rd., Unit#414, North Charleston, SC 29406 | 2016-09-01 |
1821443896 | Liberty Doctors, LLC | Family Medicine | 9275 D Medical Plaza Dr., North Charleston, SC 29406 | 2016-04-27 |
1174984645 | Ashia George | Developmental Therapist | 6650 Rivers Avenue, Ste 100, Charleston, SC 29406 | 2016-03-11 |
1023488582 | Etta Smith | Counselor | 2470 Mall Dr Unit Cd, North Charleston, SC 29406 | 2015-09-28 |
Find all providers in zip 29406 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881174936 | Jaclyn Sudol | Nurse Practitioner | 2946 Ashley River Rd, Charleston, SC 29414-7049 | 2018-08-17 |
1427437821 | Wv Phs LLC | Nurse Practitioner | 400 Patterson Ln, Charleston, WV 25311-1570 | 2015-05-19 |
1417933193 | Emmie Elizabeth Steadman | Nurse Practitioner | 96 Jonathan Lucas St, Suite 424, Charleston, SC 29425-8900 | 2005-12-15 |
1285231340 | Bree Romecki | Nurse Practitioner | 171 Ashley Ave, Charleston, SC 29425-0100 | 2020-10-02 |
1558971390 | Auryelle Ascue | Nurse Practitioner | 171 Ashley Ave, Charleston, SC 29425-8908 | 2020-08-06 |
1356973820 | Jason Foster | Nurse Practitioner | 1137 Sam Rittenberg Blvd, Charleston, SC 29407-3360 | 2020-02-12 |
1841830940 | Daniel Christopher Michalski | Nurse Practitioner | 171 Ashley Ave, Charleston, SC 29425-5098 | 2020-01-07 |
1932747748 | Chelsey A D Massey | Nurse Practitioner | 316 Calhoun St, Charleston, SC 29401-1113 | 2019-12-12 |
1417593526 | Caitlin Marie Baker | Nurse Practitioner | 171 Ashley Ave, Charleston, SC 29425-8908 | 2019-11-24 |
1053957696 | Lynn Jarrett | Nurse Practitioner | 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 | 2019-11-19 |
Find all providers in CHARLESTON |
City | CHARLESTON |
Zip Code | 29406 |
Please comment or provide details below to improve the information on CATHERINE ELIZABETH 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.