JESSICA LYNN BENNETT (NPI# 1821483025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821483025 |
| Entity Type | Individual |
| Full Name | JESSICA LYNN BENNETT |
| Credential | NNP-BC |
| Practice Address |
3020 Children's Way, Mc 5008 San Diego CA 92123 |
| Mailing Address |
3020 Childrens Way # Mc5008 San Diego CA 92123-4223 |
| Practice Telephone | 8589665818 |
| Mailing Telephone | 8589665818 |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2015-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WN0002X |
Registered Nurse Specialization: Neonatal Intensive Care |
95065689 | CA | Nursing Service Providers |
| N | 163WN0002X |
Registered Nurse Specialization: Neonatal Intensive Care |
RN575015 | PA | Nursing Service Providers |
| N | 163WN0002X |
Registered Nurse Specialization: Neonatal Intensive Care |
240290 | NC | Nursing Service Providers |
| N | 163WN0002X |
Registered Nurse Specialization: Neonatal Intensive Care |
223388 | SC | Nursing Service Providers |
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
95002665 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346870458 | Jessica Bennett | Family Medicine | 8946 Mcwhorter Rd, London, KY 40741-8721 | 2020-01-17 |
| 1093368433 | Jessica Sophia Bennett | Nurse Anesthetist, Certified Registered | 424 Heritage Village Ln, Apex, NC 27502-8492 | 2019-07-23 |
| 1275011223 | Jessica Bennett | Dietitian, Registered | 1211 21st Ave South 607 Mab, Nashville, TN 37232-1320 | 2018-08-01 |
| 1538675079 | Jessica Bennett | Behavioral Analyst | 7050 W 107th St Ste 110, Overland Park, KS 66212-1829 | 2017-12-20 |
| 1578014072 | Jessica Bennett | Emergency Medical Technician, Intermediate | 25 Se Wanapa St, Cascade Locks, OR 97014-7002 | 2016-10-19 |
| 1306396197 | Jessica Dale Bennett | Occupational Therapy Assistant | 6401 Ohio Dr, Plano, TX 75024-6700 | 2016-10-05 |
| 1033667803 | Jessica Lee Bennett | Specialist/Technologist | 134 N Rose St, Baltimore, MD 21224-1152 | 2016-09-21 |
| 1699163170 | Jessica Bennett | Advanced Practice Midwife | 3679 S Shortleaf Ave, Boise, ID 83716-8617 | 2015-01-06 |
| 1902219587 | Jessica Bennett | Social Worker | 216 Olive St, Texarkana, AR 71854-5932 | 2014-06-11 |
| 1679811855 | Jessica A Bennett | Counselor | 888 W Big Beaver Rd Ste 780, Troy, MI 48084-4745 | 2013-01-23 |
| Street Address |
3020 CHILDREN'S WAY, MC 5008 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
| 1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
| 1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
| 1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
| 1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
| Find all providers in zip 92123 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295076727 | Heidi Wilson-seger | Nurse Practitioner | 3020 Childrens Way # Mc5051, San Diego, CA 92123-4223 | 2013-03-07 |
| 1548474067 | Gayle Anne Campbell | Nurse Practitioner | 10631 Escobar Dr, San Diego, CA 92124-2051 | 2007-05-10 |
| 1700425170 | Megan Hedges | Nurse Practitioner | 3020 Childrens Way, San Diego, CA 92123-4223 | 2020-01-02 |
| 1457905697 | Amanda Marie Green | Nurse Practitioner | 3020 Childrens Way, San Diego, CA 92123-4223 | 2019-07-25 |
| 1770938664 | Anna Katherine Hays | Nurse Practitioner | 3020 Childrens Way # Mc5051, San Diego, CA 92123-4223 | 2016-04-28 |
| 1174987754 | Anali Vera | Nurse Practitioner | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2016-04-08 |
| 1801260385 | Lauren Spydell | Nurse Practitioner | 3020 Childrens Way, San Diego, CA 92123-4223 | 2015-11-20 |
| 1396153201 | Jennifer Michelle Ray | Nurse Practitioner | 3020 Childrens Way, Mc 5008, San Diego, CA 92123-4223 | 2014-07-24 |
| 1184963670 | Roberta Jean Rhodes | Nurse Practitioner | 200 W Arbor Dr, Suite 2-701, San Diego, CA 92103-9000 | 2013-02-04 |
| 1386926665 | Katie Lee Hunt | Nurse Practitioner | 34800 Bob Wilson Drive, San Diego, CA 92134 | 2011-09-13 |
| 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.