MICHELE LEE BENTOSKI (NPI# 1356856652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356856652 |
| Entity Type | Individual |
| Full Name | MICHELE LEE BENTOSKI |
| Practice Address |
2026 S Jackson St Jacksonville TX 75766-5822 |
| Practice Telephone | 9035865678 |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2018-03-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP135239 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 380017901 | 05 | |
| TX | MEDICARE | 628116YS6V | 01 |
| TX | MEDICARE RAIL ROAD | P01975553 | 01 |
| TX | BCBS | 8HV913 | 01 |
| Street Address |
2026 S JACKSON ST |
| City | JACKSONVILLE |
| State | TX |
| Zip Code | 75766-5822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952306672 | Mother Frances Hospital - Jacksonville | Nurse Anesthetist, Certified Registered | 2026 S Jackson St, Jacksonville, TX 75766-5822 | 2005-06-17 |
| 1497362198 | Stephanie Davis | Registered Nurse | 2026 S Jackson St, Jacksonville, TX 75766-5822 | 2020-09-26 |
| 1730643032 | Timothy B Different | Nurse Anesthetist, Certified Registered | 2026 S Jackson St, Jacksonville, TX 75766-5822 | 2019-01-31 |
| 1124562012 | Pamela D Mackay | Nurse Practitioner | 2026 S Jackson St, Jacksonville, TX 75766-5822 | 2016-12-12 |
| 1740673557 | Natalie Marie Morgan | Nurse Practitioner | 2026 S Jackson St, Jacksonville, TX 75766-5822 | 2015-03-18 |
| 1376956466 | Alison Collins | Family Medicine | 2026 S Jackson St, Jacksonville, TX 75766-5822 | 2014-06-05 |
| 1457771818 | Rita Alumanah | Family Medicine | 2026 S Jackson St, Jacksonville, TX 75766-5822 | 2014-04-23 |
| 1427496025 | Lilika Anique White | Family Medicine | 2026 S Jackson St, Jacksonville, TX 75766-5822 | 2013-06-05 |
| 1285920405 | Nirmala Nandini Cheatham | Family Medicine | 2026 S Jackson St, Jacksonville, TX 75766-5822 | 2011-06-27 |
| 1821392606 | Trincare Inc | Clinic/Center | 2026 S Jackson St, Jacksonville, TX 75766-5822 | 2011-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770062788 | David Rentz | Occupational Therapy Assistant | 838 Brown St., Jacksonville, TX 75766 | 2018-08-09 |
| 1295233146 | Amanda Dawn Anderson | Licensed Vocational Nurse | Fm 347, Jacksonville, TX 75766 | 2018-01-25 |
| 1467896241 | Christopher Mark Sirianni | Anesthesiology | 2026 S Jackson St Apt 1213, Jacksonville, TX 75766 | 2013-04-23 |
| 1164703047 | Aegis Psychological Consulting LLC | Psychologist | 208 E. Rusk St., Jacksonville, TX 75766 | 2011-09-06 |
| 1952697872 | Melissa Springmeyer | Family Medicine | 2026 South Jacksonville Street, Jacksonville, TX 75766 | 2011-06-20 |
| 1306031018 | Michael Kay Moore | Occupational Therapist | 4155 Cr 3908, Jacksonville, TX 75766 | 2007-09-06 |
| 1730398827 | Cherokee County Health Department | Public Health or Welfare | 510 East Commerce, Jacksonville, TX 75766 | 2007-05-22 |
| 1568689545 | Mary Alice Bone | Preventive Medicine | 510 E. Commerce, Jacksonville, TX 75766 | 2007-04-19 |
| 1619093176 | Assisted Living Concepts Inc | Assisted Living Facility | 211 Phillip Street, Jacksonville, TX 75766 | 2007-03-22 |
| 1265560767 | Anderson Cherokee Community Enrichment Services | Counselor | 1011 College Ave, Jacksonville, TX 75766 | 2007-02-28 |
| Find all providers in zip 75766 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293868 | Maria Fe Guboc Rufano-sulit | Nurse Practitioner | 3682 Summerlin Ln, Jacksonville, FL 32224-1650 | 2020-10-21 |
| 1346849502 | Caitlin Flott | Nurse Practitioner | 14589 Camberwell Ln S, Jacksonville, FL 32258-1708 | 2020-10-20 |
| 1972101137 | Amanda Brooke Mills | Nurse Practitioner | 8459 Oak Crossing Dr W, Jacksonville, FL 32244-6949 | 2020-10-10 |
| 1649877200 | Shalom Barile | Nurse Practitioner | 1377 Ingleside Ave, Jacksonville, FL 32205-7733 | 2020-10-07 |
| 1013524248 | Claudia Joseph | Nurse Practitioner | 3331 Net Ct, Jacksonville, FL 32277-2735 | 2020-10-01 |
| 1063029577 | Erica Francisca Andrade | Nurse Practitioner | 5475 Turkey Creek Rd, Jacksonville, FL 32244-8549 | 2020-09-29 |
| 1568078418 | Jennifer Ruth Woodard | Nurse Practitioner | 29 Trinity Way, Jacksonville, AL 36265-5813 | 2020-09-16 |
| 1013522309 | William David Michal | Nurse Practitioner | 4417 Chippewa Dr, Jacksonville, FL 32210-6006 | 2020-09-13 |
| 1063025906 | Fabiola Baptiste | Nurse Practitioner | 9143 Philips Hwy Ste 110, Jacksonville, FL 32256-1365 | 2020-08-29 |
| 1295348464 | Debi Cohen | Nurse Practitioner | 11266 Cloverhill Ct, Jacksonville, FL 32257-1438 | 2020-08-27 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 75766 |
Please comment or provide details below to improve the information on MICHELE LEE BENTOSKI.
| 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.