MRS. AMANDA ELIZABETH BENNETT (NPI# 1700302528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700302528 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA ELIZABETH BENNETT |
| Other Name | AMANDA ELIZABETH THELEN |
| Credential | FNP-C |
| Practice Address |
102 South Thrid Street Suite 100 Carson City MI 48811 |
| Mailing Address |
Po Box 13008 Lansing MI 48901-3008 |
| Practice Telephone | 9895841308 |
| Mailing Telephone | 5172536320 |
| Mailing Fax Number | 5173646208 |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2018-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704282874 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750858056 | Amanda Bennett | Nurse Practitioner | 2000 Riverside Pkwy Ste 207, Lawrenceville, GA 30043-5926 | 2018-10-25 |
| 1962867838 | Amanda Bennett | Specialist | 705 Central Parke Cir Apt 208, Lakeland, FL 33805-9590 | 2015-12-21 |
| 1023436847 | Amanda Laine Bennett | Student in an Organized Health Care Education/Training Program | 137 S Alexander St, New Orleans, LA 70119-5904 | 2014-03-29 |
| 1891838041 | Amanda Renee Bennett | Pharmacy Technician | 580 E Diamond Ave, Evansville, IN 47711-3716 | 2007-02-15 |
| 1558329862 | Amanda Dawn Bennett | Nurse Practitioner | 801 W Rex Allen Dr, Willcox, AZ 85643-1129 | 2006-05-03 |
| 1578533345 | Amanda K Bennett | Family Medicine | 2585 3rd Avenue, Huntington, WV 25703 | 2006-01-25 |
| 1992346944 | Amanda Lorraine Bennett | Counselor | 2801 N Flagler Dr, West Palm Beach, FL 33407-5215 | 2019-10-01 |
| 1851862577 | Amanda Bennett | Nurse Practitioner | 1200 7th Ave N, St Petersburg, FL 33705-1300 | 2018-12-06 |
| 1205321692 | Amanda Bennett | Behavior Technician | 3595 2nd Ave N, Palm Springs, FL 33461-4027 | 2018-06-27 |
| 1427559624 | Amanda Bennett | Behavior Technician | 25115 Avenue Stanford Ste 100, Valencia, CA 91355-4791 | 2018-02-22 |
| Street Address |
102 SOUTH THRID STREET SUITE 100 |
| City | CARSON CITY |
| State | MI |
| Zip Code | 48811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073061180 | Kelsey Dennis | Specialist/Technologist | 6460 S Mount Hope Rd, Carson City, MI 48811 | 2016-09-18 |
| 1598018152 | Healthstat- Carson City Hospital | Preventive Medicine | 46 Elm St., Carson City, MI 48811 | 2012-10-19 |
| 1023283876 | Dean L Barker | Pharmacist | 10767 E. Carson City Road, Carson City, MI 48811 | 2008-04-23 |
| 1891984431 | Thomas O Morgan Do PC | Surgery | 102 S. Third Street, Suite 400, Carson City, MI 48811 | 2007-10-19 |
| 1609091180 | Matthew Eric Haglund | Chiropractor | 10708 E Carson City Road, Carson City, MI 48811 | 2007-04-17 |
| 1417171844 | The Laurels of Carson City, LLC | Skilled Nursing Facility | 620 N. Second Street, Carson City, MI 48811 | 2007-04-13 |
| 1184792053 | Sparrow Carson Hospital | Psychiatry & Neurology | 102 S. Third St., Suite 500, Carson City, MI 48811 | 2006-12-01 |
| 1730103003 | Carol Marie Carpenter | Social Worker | 102 South Third Street, Suite 500, Carson City, MI 48811 | 2006-07-27 |
| 1801815956 | John Gilbert Lundeen | Radiology | 406 Elm St, Carson City, MI 48811 | 2006-07-19 |
| 1902833064 | Edith Arien Helms | Pharmacist | 245 S. 2nd Street, Carson City, MI 48811 | 2006-06-26 |
| Find all providers in zip 48811 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396265385 | Shelinda Dennis | Nurse Practitioner | 1201 N Carson St Ste 200, Carson City, NV 89701-1203 | 2017-06-21 |
| 1306239827 | Total Health Clinic | Nurse Practitioner | 1800 E William St Ste 205, Carson City, NV 89701-3211 | 2015-03-08 |
| 1437563152 | Nina Patynowski | Nurse Practitioner | 415 W Sofia St, Ste 100, Carson City, NV 89703 | 2014-06-20 |
| 1073950002 | Jean Cozad Lyon | Nurse Practitioner | 1910 College Pkwy, Suite 130, Carson City, NV 89706-8022 | 2013-05-31 |
| 1700127743 | Pauline Jenni King | Nurse Practitioner | 1206 S Carson St, Carson City, NV 89701 | 2013-03-14 |
| 1275565103 | Sheree L Pharris | Nurse Practitioner | 1201 S Carson Street, Carson City, NV 89701 | 2006-07-07 |
| 1851322408 | Michael Lee Reisman | Nurse Practitioner | Nevada Health Centers, 1802 N Carson Street Suite #100, Carson City, NV 89701-1227 | 2006-07-05 |
| 1013963685 | David L. Ramsey | Nurse Practitioner | 205 S Pratt Ave, Carson City, NV 89701-4730 | 2006-05-25 |
| 1649743154 | Joseph Barnes | Nurse Practitioner | 2874 N Carson St, Carson City, NV 89706-0251 | 2019-01-08 |
| 1124598818 | Julie Westwood | Nurse Practitioner | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2018-11-26 |
| Find all providers in CARSON CITY | ||||
| City | CARSON CITY |
| Zip Code | 48811 |
Please comment or provide details below to improve the information on MRS. AMANDA 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.