DR. MICHELLE L. BENNETT


Address: 2200 Tydd St, Eureka, CA 95501-1284
Phone: 7074411624

DR. MICHELLE L. BENNETT (NPI# 1831588615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831588615
Entity Type Individual
Full Name DR. MICHELLE L. BENNETT
Credential PHARMD
Practice Address 2200 Tydd St
Eureka
CA 95501-1284
Mailing Address Po Box 124
Eureka
CA 95502-0124
Practice Telephone 7074411624
Mailing Telephone 7074411624
Enumeration Date 2015-01-15
Last Update Date 2020-07-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RPH81968 CA Pharmacy Service Providers
N 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
0014258 OR Pharmacy Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
351 Hartnell Ave, Redding, CA 960021845 5302267620

Other Providers MICHELLE BENNETT

NPI Name Taxonomy Address Enumeration
1932409836 Michelle Denise Bennett Registered Nurse 70 Catherine Ct, Lynchburg, VA 24501-7075 2010-10-25
1194988006 Michelle Simone Bennett Nurse's Aide 6697 Pine Valley Trce, Stone Mountain, GA 30087-5819 2008-07-10
1598726507 Michelle Lynn Bennett Pediatrics 17742 Beach Blvd., Suite 240, Huntington Beach, CA 92647 2006-03-29
1033185756 Michelle L Bennett Pediatrics 1115 Clifton Ave Ste 101, Clifton, NJ 07013-3649 2006-02-23
1902403405 Michelle Bennett Pharmacist 621 S Main St, Du Bois, PA 15801-1413 2020-10-07
1588207120 Michelle Bennett Physician Assistant 2601 S Kanner Hwy, Stuart, FL 34994-4622 2019-10-28
1902457013 Michelle Bennett Technician 10443 Riverdale Rise Dr, Riverview, FL 33578-4065 2019-09-20
1467989079 Michelle Bennett Student in an Organized Health Care Education/Training Program 450 Clarkson Ave, Ob/gyn Department, Brooklyn, NY 11203-2012 2017-05-12
1649715145 Michelle Bennett Massage Therapist 6303 Indian School Rd Ne, Suite 102b, Albuquerque, NM 87110-5328 2016-12-20
1205385879 Michelle Marie Bennett Massage Therapist 3689 Carman Dr Ste 300, Lake Oswego, OR 97035-2620 2016-09-23

Office Location

Street Address 2200 TYDD ST
City EUREKA
State CA
Zip Code 95501-1284

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033113535 Suzanne Dietz Nurse Practitioner 2200 Tydd St, Eureka, CA 95501-1284 2005-06-13
1447864756 Shoua Lor Nurse Practitioner 2200 Tydd St, Eureka, CA 95501-1284 2020-09-03
1487264586 Susan Kang Blackburn Registered Nurse 2200 Tydd St, Eureka, CA 95501-1284 2020-08-04
1104434364 Gift Oluchi Okwandu Nurse Practitioner 2200 Tydd St, Eureka, CA 95501-1284 2020-07-14
1942858790 Haley April Davies Nurse Practitioner 2200 Tydd St, Eureka, CA 95501-1284 2019-08-26
1568010312 Gianvieve Schwirblat Registered Nurse 2200 Tydd St, Eureka, CA 95501-1284 2019-08-26
1780230425 Genay Marie Lebeuf Registered Nurse 2200 Tydd St, Eureka, CA 95501-1284 2019-08-16
1447817184 Marresa Chinwe Ozokwere Nurse Practitioner 2200 Tydd St, Eureka, CA 95501-1284 2019-05-28
1104480953 Anna Page Strunk Registered Nurse 2200 Tydd St, Eureka, CA 95501-1284 2019-04-26
1174001986 Patricia Lan Carter Physician Assistant 2200 Tydd St, Eureka, CA 95501-1284 2018-08-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538795919 Eric Meyer Goldsmith Physical Therapist 2306 Dean Street, Eureka, CA 95501 2020-03-18
1609406404 Humboldt County Behavioral Health Community/Behavioral Health 638 W Clark St., Bldg. E, Eureka, CA 95501 2020-01-21
1740831767 Jacqueline Renee Coghill Nurse Practitioner Waterfront Recovery Services, 2413 2nd St, Eureka, CA 95501 2019-09-20
1982177275 Jenny Bugnacki Case Manager/Care Coordinator 721 Wood St, Eureka, CA 95501 2019-01-09
1073023107 Humboldt Recovery Center Inc. Substance Abuse Rehabilitation Facility 1303 11th St, Eureka, CA 95501 2017-10-03
1730698283 Gabriel Holtski Naturopath 1632 Broadway, Suite #252, Eureka, CA 95501 2017-09-27
1164951851 Redwood Community Services, Inc. Foster Care Agency 2426 6th St, Eureka, CA 95501 2017-06-07
1033651922 Narum Clinical Services Social Worker 930 3rd St, Suite 201, Eureka, CA 95501 2016-11-09
1750839510 Sierra Marie Evers-hellmich Physical Medicine & Rehabilitation 2103 Myrtle Avenue, Eureka, CA 95501 2016-09-21
1558720623 Jennifer Vu Behavioral Analyst 730 7th St Ste A, Eureka, CA 95501 2016-02-18
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Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770180697 Salam Kabbani Pharmacist 2700 Dolbeer St, Eureka, CA 95501-4736 2020-10-04
1114563558 Kayla Quick Pharmacist 2700 Dolbeer St, Eureka, CA 95501-4736 2019-11-20
1912411380 Lyndsey Chamberlain Pharmacist 2280 Harrison Ave, Eureka, CA 95501-3200 2017-11-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1376142430 Daria Mohazzab Hosseinian Pharmacist 450 E Spring St Ste 11, Long Beach, CA 90806-1625 2020-10-20
1235745100 Ngoc Tran Pharmacist 10371 Luders Ave, Garden Grove, CA 92843-3213 2020-09-16
1275143752 Sherine Ann Legge Pharmacist 17 Westchester Ct, Trabuco Canyon, CA 92679-4955 2020-08-09
1922618412 Ashley Keane Hayes Pharmacist 6551 E El Pulcro St, Long Beach, CA 90815-2302 2020-08-09
1750991543 Priyankumar Arvind Patel Pharmacist 2339 S G St, Fresno, CA 93721-3425 2020-08-05
1912521261 Sharon Jung Pharmacist 851 Langholm Way, Riverside, CA 92508-6075 2020-06-02
1710500376 Christine Nguyen Pharmacist 2248 E Nyon Ave, Anaheim, CA 92806-4634 2020-05-18
1134740582 Cj3m Corporation Pharmacist 2626 El Camino Real Ste A, Carlsbad, CA 92008-1253 2020-04-27
1629607775 Tiffany Chang Pharmacist 213 Quarry Rd Rm 2726a, Palo Alto, CA 94304-1416 2020-04-01
1124655782 Noor Mikhail Pharmacist 220 W Main St Ste 102, El Cajon, CA 92020-3462 2020-03-24
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Competitor

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City EUREKA
Zip Code 95501

Improve Information

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Dataset Information

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.

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