ELISABETH D BENNETT (NPI# 1467464081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467464081 |
| Entity Type | Individual |
| Full Name | ELISABETH D BENNETT |
| Credential | PHD |
| Practice Address |
502 E Boone Ave Spokane WA 99258-1774 |
| Mailing Address |
Po Box 280 Colbert WA 99005-0280 |
| Practice Telephone | 5099818509 |
| Practice Fax Number | 5093235964 |
| Mailing Telephone | 5093233512 |
| Mailing Fax Number | 5093235964 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY00002225 | WA | Behavioral Health & Social Service Providers |
| Street Address |
502 E BOONE AVE |
| City | SPOKANE |
| State | WA |
| Zip Code | 99258-1774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124093497 | Paul B Hastings | Psychologist | 502 E Boone Ave, Spokane, WA 99258-1774 | 2006-02-21 |
| 1295332252 | Jennifer Quartermaine | Nurse Practitioner | 502 E Boone Ave, Spokane, WA 99258-0001 | 2020-10-02 |
| 1821603069 | Matthew Harrison Volk | Registered Nurse | 502 E Boone Ave, Spokane, WA 99258-0001 | 2020-09-14 |
| 1386253276 | Adam Berens | Student in an Organized Health Care Education/Training Program | 502 E Boone Ave, Spokane, WA 99258-0001 | 2020-07-27 |
| 1336768928 | Kendall Gallop | Specialist/Technologist | 502 E Boone Ave, Spokane, WA 99258-1774 | 2020-04-13 |
| 1861031213 | Morgan Sloan | Nurse Practitioner | 502 E Boone Ave, Spokane, WA 99258 | 2020-01-02 |
| 1407492937 | Kristin Headrick | Student in an Organized Health Care Education/Training Program | 502 E Boone Ave, Spokane, WA 99258-1774 | 2019-11-19 |
| 1912549627 | Irene A Gielen | Student in an Organized Health Care Education/Training Program | 502 E Boone Ave, Spokane, WA 99258-0001 | 2019-10-14 |
| 1841753217 | Dagmara Barney | Student in an Organized Health Care Education/Training Program | 502 E Boone Ave, Spokane, WA 99258-1774 | 2019-04-11 |
| 1396235636 | William Edward Drake | Specialist/Technologist | 502 E Boone Ave, Spokane, WA 99258-0066 | 2018-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568494045 | Valerie Kolokoff | Family Medicine | Gonzaga University Student Health 704 E Sharp, Spokane, WA 99258 | 2006-07-07 |
| 1649233511 | Erin Marie Morrison | Psychiatry & Neurology | 704 E Sharp, Spokane, WA 99258 | 2006-04-10 |
| 1760506406 | Nancy K Crotty | Specialist | 704 E Sharp Ave, Spokane, WA 99258-0001 | 2007-03-19 |
| 1023114758 | Patricia Lea Hines | Nurse Practitioner | 702 E Sharp Ave, Spokane, WA 99258-0001 | 2006-09-16 |
| 1154397115 | Steven D Koffman | Psychologist | 714 E Boone, Rosauer Jcenter Education Rc 268, Spokane, WA 99258-0001 | 2006-02-28 |
| 1700842523 | Shann Ferch | Psychologist | 714 E Boone, Ad Box 25, Spokane, WA 99258-0001 | 2006-04-21 |
| 1790952141 | Nancy L. Worsham | Psychologist | East 502 Boone Ave, Gonzaga University Psychology Department, Spokane, WA 99258-0056 | 2008-05-14 |
| 1558770271 | Kathryn Lorraine Johnson | Specialist/Technologist | Gonzaga University 502 E Boone, Spokane, WA 99258-0066 | 2014-08-06 |
| 1316286958 | Ortiz Sunrise Counseling Services Co | Community/Behavioral Health | 502 E Boone Ave # Ad94, Spokane, WA 99258-0094 | 2013-02-01 |
| 1477004653 | Mollie Simonson | Emergency Medical Technician, Basic | Gonzaga University Msc 3838, 502 E Boone Ave., Spokane, WA 99258-2500 | 2016-10-21 |
| Find all providers in zip 99258 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972103026 | River City Tms, Pllc | Psychologist | 400 S Jefferson St Ste 118, Spokane, WA 99204-3142 | 2020-10-28 |
| 1386064756 | Angela Hille | Psychologist | 101 W Cataldo Ave Ste 210, Spokane, WA 99201-3200 | 2014-04-23 |
| 1003246661 | Rita Y Flanagan | Psychologist | 4815 N Assembly St, Room B256, Spokane Va Medical Center, Spokane, WA 99205 | 2013-11-19 |
| 1669801015 | Dennis Dyck | Psychologist | Tapio Professional Center, Green Flag Bldg 104 S. Freya, Suite 112c, Spokane, WA 99202 | 2013-11-06 |
| 1740585025 | John Bruce Jessen | Psychologist | 4107 S Bellgrove Ln, Spokane, WA 99223-6185 | 2011-01-18 |
| 1295970333 | Jameson C Lontz | Psychologist | 1624 W Dean Ave, Spokane, WA 99201-1825 | 2008-12-03 |
| 1790952141 | Nancy L. Worsham | Psychologist | East 502 Boone Ave, Gonzaga University Psychology Department, Spokane, WA 99258-0056 | 2008-05-14 |
| 1295947687 | Cornerstone Psychologist, Ps | Psychologist | 1525 W 8th Ave, Spokane, WA 99204-3414 | 2007-05-05 |
| 1568688646 | Kayleen Islam-zwart | Psychologist | 140 S Arthur St Ste 410, Spokane, WA 99202-2220 | 2007-04-17 |
| 1427272384 | Dennis Richard Pollack | Psychologist | 9 S Washington St, Suite 709, Spokane, WA 99201-3719 | 2007-04-12 |
| Find all providers in SPOKANE | ||||
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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.