MS. ANDREA RENEE BENTZ (NPI# 1497846240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497846240 |
| Entity Type | Individual |
| Full Name | MS. ANDREA RENEE BENTZ |
| Credential | RT R |
| Practice Address |
111 Bever Grade Nimiipuu Health Lapwai ID 83540 |
| Mailing Address |
1309 Powers Avenue Lewiston ID 83501 |
| Practice Telephone | 2088432271 |
| Practice Fax Number | 2088439163 |
| Mailing Telephone | 2087430336 |
| Mailing Fax Number | 2087430336 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247100000X | Radiologic Technologist | 407815 | ID | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
111 BEVER GRADE NIMIIPUU HEALTH |
| City | LAPWAI |
| State | ID |
| Zip Code | 83540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245226570 | Heather Lei Weddle | Pharmacist | 111 Bever Grade, Lapwai, ID 83540 | 2005-09-22 |
| 1962877464 | Heather Foster | Social Worker | 111 Bever Grade, Lapwai, ID 83540 | 2015-12-09 |
| 1194129411 | Penny R Buckland | Nurse Practitioner | 111 Bever Grade, Lapwai, ID 83540 | 2014-10-15 |
| 1396088282 | Myra Irene Campbell | Counselor | 111 Bever Grade, Lapwai, ID 83540 | 2013-03-29 |
| 1083923247 | Mary Jane Miles | Counselor | 111 Bever Grade, Lapwai, ID 83540 | 2010-10-05 |
| 1114236387 | Charlotte J Watters | Counselor | 111 Bever Grade, Lapwai, ID 83540 | 2010-10-05 |
| 1407160591 | Timothy F Voglewede | Counselor | 111 Bever Grade, Lapwai, ID 83540 | 2010-07-30 |
| 1861706137 | Crescentia Hills | Social Worker | 111 Bever Grade, Lapwai, ID 83540-0367 | 2010-07-29 |
| 1447564943 | Lindsey Ann Holt | Social Worker | 111 Bever Grade, Lapwai, ID 83540 | 2010-07-27 |
| 1649308750 | Marie Jeanette Cooper | Licensed Practical Nurse | 111 Bever Grade, Lapwai, ID 83540 | 2007-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114373800 | Tonia Aripa | Social Worker | 111 Bever Gd, Lapwai, ID 83540 | 2016-05-11 |
| 1053432757 | Elizabeth Ann Kendrick | Nurse Practitioner | 111 Beaver Rd, Lapwai, ID 83540 | 2007-04-02 |
| 1376697508 | Lapwai School District 341 | Local Education Agency (LEA) | 225 District Road, Lapwai, ID 83540 | 2007-01-23 |
| 1235207861 | Richard H Curry Jr. | Counselor | 111 Bevergrade, Lapwai, ID 83540 | 2006-12-01 |
| 1962417253 | Linda D Busch | Registered Nurse | 111 Beaver Grade, Lapwai, ID 83540 | 2006-07-29 |
| 1912473919 | Sabrina M Wakefield | Social Worker | 111 Bever Grade Rd, Lapwai, ID 83540 | 2018-10-17 |
| 1962859272 | Miles Floyd Robinson | Nurse Practitioner | 111 Beaver Grade, Lapwai, ID 83540 | 2016-05-17 |
| 1720290927 | Robert Albert Grossklaus | Dentist | 111 Beaver Grade, Ni M& I Puu, Lapwai, ID 83540 | 2007-05-03 |
| 1346363124 | Sandra Kay Haddox | Registered Nurse | 111 Beaver Grade, Nimiipuu Health, Lewiston, ID 83540 | 2007-04-09 |
| 1528191780 | Katherine Ann Raymond | Pharmacist | 111 Bever Grade Rd, Lapwai, ID 83540 | 2007-03-14 |
| Find all providers in zip 83540 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235143728 | James Lewis Collier | Radiologic Technologist | 111 Bever Grade, Lapwai, ID 83540 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720483530 | Nathan Alan Banner | Radiologic Technologist | 1800 N Summer Rose St, Post Falls, ID 83854-6003 | 2014-10-23 |
| 1659772143 | Geri Vialpando | Radiologic Technologist | 4923 Sheppard St, Chubbuck, ID 83202-2540 | 2014-09-16 |
| 1962712216 | Carmen M Underwood | Radiologic Technologist | 5510 Roundup St, Boise, ID 83709-6461 | 2010-10-19 |
| 1821280371 | Mountain Telerad, Pllc | Radiologic Technologist | 4519 Enterprise Way, Caldwell, ID 83605 | 2007-08-17 |
| 1871887141 | Curtis R Robinson | Radiologic Technologist | 1501 Hiland Ave, Medical Imaging Department, Burley, ID 83318-2682 | 2011-06-04 |
| 1619287968 | Michael L Gurr | Radiologic Technologist | 5510 Roundup St, Boise, ID 83709-6461 | 2010-10-19 |
| 1679801831 | Helen Ahern | Radiologic Technologist | 2399 S Orchard St, Suite 202a, Boise, ID 83705-3793 | 2009-11-30 |
| 1558457721 | David J Ochoa | Radiologic Technologist | 1115 B Street, Benewah Medical Center, Plummer, ID 83851 | 2006-10-05 |
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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.