MALLORY KATELYN BENKERT (NPI# 1760948178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760948178 |
| Entity Type | Individual |
| Full Name | MALLORY KATELYN BENKERT |
| Credential | DNP, NP-C |
| Practice Address |
533 Cottage Grove Rd Bloomfield CT 06002-3155 |
| Mailing Address |
34 Schoolhouse Dr Unit 206 West Hartford CT 06110-1428 |
| Practice Telephone | 8602410700 |
| Mailing Telephone | 7575766944 |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2019-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
8015 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 85 Seymour St Ste 900, Hartford, CT 061065528 | 8602410700 |
| Street Address |
533 COTTAGE GROVE RD |
| City | BLOOMFIELD |
| State | CT |
| Zip Code | 06002-3155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457392185 | Jozsef Piri | Internal Medicine | 533 Cottage Grove Rd, Internal Medicine Associates, Bloomfield, CT 06002-3155 | 2006-06-10 |
| 1417052382 | Rashma Jhunja | Internal Medicine | 533 Cottage Grove Rd, Bloomfield, CT 06002-3155 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558908897 | Duncaster, Inc. | Clinic/Center | 30 Loeffler Rd., Bloomfield, CT 06002 | 2019-12-05 |
| 1104467919 | Caroline Suzanne Carey Oesch | Counselor | 71 West Dudley St, Bloomfield, CT 06002 | 2019-10-02 |
| 1679047534 | Inspire Me, LLC | Counselor | 1-2 Camelot Drive, Bloomfield, CT 06002 | 2019-01-14 |
| 1508348947 | Rebecca Perry | Student in an Organized Health Care Education/Training Program | 693 Bloomfield Avenue, Bloomfield, CT 06002 | 2018-09-01 |
| 1760996946 | Monique Edwards | Social Worker | 705 New Briatin Ave, Chd, Bloomfield, CT 06002 | 2017-11-27 |
| 1225564412 | Merva E Dixon | Nurse Practitioner | 38 Hill Farm Rd, Bloomfield, CT 06002 | 2017-05-07 |
| 1538602610 | Jaime Acevedo | Counselor | 571 Bloomfield Ave, Bloomfield, CT 06002 | 2016-11-22 |
| 1669835138 | Jacob Badura | Pharmacist | 799-824 Park Ave, Bloomfield, CT 06002 | 2016-04-01 |
| 1316283328 | Julie Jason Farrelly | Counselor | 45 Wintonbury Ave Ste 102, Bloomfield, CT 06002 | 2012-12-19 |
| 1184915860 | Rachel Benedetto Scott | Surgery | 6 Northwestern Drive, Suite 305, Bloomfield, CT 06002 | 2011-04-28 |
| Find all providers in zip 06002 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750814190 | Christine Hyuna Chung | Nurse Practitioner | 590 Bloomfield Ave, Suite 127, Bloomfield, NJ 07003-2510 | 2017-04-04 |
| 1386078558 | Yrlande Simon | Nurse Practitioner | 68 Willow St, Bloomfield, NJ 07003-3216 | 2013-08-24 |
| 1174571335 | June Mayer | Nurse Practitioner | 255 Broad St, Bloomfield, NJ 07003-2724 | 2006-05-04 |
| 1457833006 | Melissa Eve Mckay | Nurse Practitioner | 382 W Passaic Ave, Bloomfield, NJ 07003-5552 | 2018-08-30 |
| 1609326123 | Kimberly Pappas | Nurse Practitioner | 100 N Church St, Unit C, Bloomfield, NM 87413-5754 | 2016-10-07 |
| 1902254725 | Natalie M Cooper | Nurse Practitioner | 421 Cottage Grove Rd, Bloomfield, CT 06002-3170 | 2016-06-02 |
| 1851766364 | Raena Kidangan | Nurse Practitioner | 34 Woodland Rd, 1st Floor, Bloomfield, NJ 07003-5212 | 2015-12-09 |
| 1962812602 | Sherlaine Baas | Nurse Practitioner | 194 Broad St, Bloomfield, NJ 07003-2606 | 2014-05-03 |
| 1164848297 | Savita Doobay | Nurse Practitioner | 194 Broad St, Bloomfield, NJ 07003-2606 | 2014-03-13 |
| 1760768477 | Gail Loihle Baglione | Nurse Practitioner | 30 State St, Bloomfield, NJ 07003-2529 | 2011-10-26 |
| Find all providers in BLOOMFIELD | ||||
| City | BLOOMFIELD |
| Zip Code | 06002 |
Please comment or provide details below to improve the information on MALLORY KATELYN BENKERT.
| 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.