SUSAN M. BENNETT (NPI# 1760541809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760541809 |
| Entity Type | Individual |
| Full Name | SUSAN M. BENNETT |
| Practice Address |
1933 Cable St San Diego CA 92107-2807 |
| Practice Telephone | 6192214490 |
| Practice Fax Number | 6192214494 |
| Mailing Telephone | 6192214490 |
| Mailing Fax Number | 6192214494 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2008-04-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN430016, FNP653 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 2401332 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043633605 | Susan Bennett | Physical Therapy Assistant | 2314 Forest Ave, Durango, CO 81301-4867 | 2014-01-31 |
| 1497184162 | Susan Bennett | Registered Nurse | 1265 Ravenshoe Way, Chico, CA 95973-9138 | 2013-11-04 |
| 1760816821 | Susan C Bennett | Licensed Vocational Nurse | 5109b W Enterprise St, North Charleston, SC 29405-4066 | 2013-08-26 |
| 1083991236 | Susan Leslie Bennett | Psychologist | 4700 Hale Pkwy Ste 380, Denver, CO 80220-4023 | 2011-11-15 |
| 1891076782 | Susan Raye Bennett | Counselor | 604 N Porter St, Seaford, DE 19973-2441 | 2011-09-06 |
| 1205139250 | Susan Bennett | Speech-Language Pathologist | 1030 W 33rd St, Erie, PA 16508-2508 | 2010-12-14 |
| 1578758223 | Susan Elizabeth Bennett | Counselor | 77 Mill St Ste 251, Westfield, MA 01085-5402 | 2007-09-06 |
| 1699968644 | Susan M Bennett | Social Worker | 1600 Osgood Street, Suite 3059, North Andover, MA 01845 | 2007-08-23 |
| 1649390386 | Susan G Bennett | Pharmacist | 8321 W Hammer Ln, Las Vegas, NV 89149-4606 | 2007-03-29 |
| 1972623510 | Susan Bennett | Psychologist | 4915 N Interstate Ave, Portland, OR 97217-3624 | 2007-03-29 |
| Street Address |
1933 CABLE ST |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92107-2807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972641231 | Nancy H. Rein | Nurse Practitioner | 1933 Cable St, San Diego, CA 92107-2807 | 2007-02-01 |
| 1396950135 | Kathy Shadle James | Nurse Practitioner | 1933 Cable St, San Diego, CA 92107-2807 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497111322 | Amanda Malicki | Occupational Therapist | 1567 Ocean Front St, San Diego, CA 92107 | 2016-01-07 |
| 1841689031 | Shari Houser | Marriage & Family Therapist | 1969 Sunset Cliffs Blvd, San Diego, CA 92107 | 2015-01-12 |
| 1740627868 | Marie Catherine Dumas | Psychologist | 3863 Coronado Ave, San Diego, CA 92107 | 2013-05-30 |
| 1386914422 | South Bay Internal Medicine and Family Practice | Non-Pharmacy Dispensing Site | 374 H Street, 202, San Diego, CA 92107 | 2012-01-06 |
| 1396023982 | Brooke Michelle Nielsen | Marriage & Family Therapist | 312 S. Cedros Ave. Ste 334, Ste. 304, Solana Beach, CA 92107 | 2011-07-29 |
| 1871890889 | Elizabeth Cantori | Occupational Therapist | 1865 1/2 Ebers St, San Diego, CA 92107 | 2011-02-28 |
| 1861716482 | Dina Chalom | Physical Therapist | 4833 Pescadero Ave Apt 3, San Diego, CA 92107 | 2010-03-25 |
| 1265762983 | David A. Schein | Psychiatry & Neurology | 4517 Newport Avenue, San Diego, CA 92107 | 2009-12-31 |
| 1184836215 | County of San Diego, Aging & Independance Services | Community/Behavioral Health | 4858 Del Mar Ave, San Diego, CA 92107 | 2007-05-03 |
| 1063535813 | James Wilson Jones | Dentist | 1499 Sunset Cliffs Blvd, San Diego, CA 92107 | 2007-04-09 |
| Find all providers in zip 92107 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203097 | Rebecca Dolores Garcia | Nurse Practitioner | 2440 Curlew St, San Diego, CA 92101-1327 | 2020-10-20 |
| 1003415472 | Ryanleo Flores | Nurse Practitioner | 2017 1st Avenue, Suite 301, San Diego, CA 92101 | 2020-10-18 |
| 1083226245 | Allison Floyd | Nurse Practitioner | 3652 Texas St, San Diego, CA 92104-4044 | 2020-08-19 |
| 1386255248 | Helen Hyeyoung Hong | Nurse Practitioner | 5140 Caminito Exquisito, San Diego, CA 92130-2852 | 2020-08-13 |
| 1134747595 | Dawn Elyse Rose | Nurse Practitioner | 8260 Mira Mesa Blvd Ste A, San Diego, CA 92126-2662 | 2020-07-10 |
| 1982232591 | John Meier | Nurse Practitioner | 3745 Riviera Dr Apt 10, San Diego, CA 92109-6661 | 2020-03-30 |
| 1013543008 | Alex Choi Mara | Nurse Practitioner | 5248 Zephyr Ln Unit 24, San Diego, CA 92120-2749 | 2020-03-21 |
| 1669005021 | Katlyn Ann Hartman | Nurse Practitioner | 1951 4th Ave, San Diego, CA 92101-2374 | 2020-02-13 |
| 1245876101 | Katherine Baber | Nurse Practitioner | 3671 Fifth Ave, San Diego, CA 92103-4218 | 2019-11-25 |
| 1922644095 | Taiko Harris | Nurse Practitioner | 13592 Bolero Way, San Diego, CA 92130-7006 | 2019-11-22 |
| Find all providers in SAN DIEGO | ||||
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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.