KELLY BENNETT (NPI# 1891184875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891184875 |
| Entity Type | Individual |
| Full Name | KELLY BENNETT |
| Credential | N.P. |
| Practice Address |
4921 Long Prairie Rd Suite 100 Flower Mound TX 75028-2716 |
| Practice Telephone | 9726918700 |
| Practice Fax Number | 9726918782 |
| Mailing Telephone | 9726918700 |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2019-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP127219 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 376309601 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578033387 | Kelly S Bennett | Counselor | 11100 Highway 1078, Folsom, LA 70437-3501 | 2018-12-05 |
| 1134302722 | Kelly Randolph Bennett | Psychologist | 578 Via Arista, Santa Fe, NM 87506-4507 | 2007-12-06 |
| 1831101641 | Kelly Angela Bennett | Specialist | 1161 21st Avenue South R 1217 Medical Center North, Vanderbilt University, Nashville, TN 37232 | 2006-08-12 |
| 1982634762 | Kelly A Bennett | Physician Assistant | 1028 Lee Ann Dr Ne Ste 200, Concord, NC 28025-2915 | 2006-07-04 |
| 1013329481 | Kelly Bennett | Counselor | 2711 W 15th St, Panama City, FL 32401-1366 | 2014-05-20 |
| 1083999247 | Kelly Bennett | Pharmacist | 1191 Dixwell Ave, Hamden, CT 06514-4733 | 2011-10-19 |
| 1306136460 | Kelly M Bennett | Pediatrics | 6010 S Mason Montgomery Rd, Mason, OH 45040-3706 | 2011-04-11 |
| 1144356437 | Kelly Marie Bennett | Counselor | 1500 North Ritter Avenue, Indianapolis, IN 46219-3027 | 2007-02-23 |
| 1063404127 | Kelly A. Bennett | Family Medicine | 3601 4th St, Lubbock, TX 79430-0002 | 2005-08-16 |
| Street Address |
4921 LONG PRAIRIE RD SUITE 100 |
| City | FLOWER MOUND |
| State | TX |
| Zip Code | 75028-2716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841226172 | Jelena Bucan Kurepa | Internal Medicine | 4921 Long Prairie Rd, Suite 100, Flower Mound, TX 75028-2782 | 2006-06-26 |
| 1285044487 | Munawar Hayat | Family Medicine | 4921 Long Prairie Rd, Flower Mound, TX 75028-2716 | 2014-04-28 |
| 1225301773 | Jessica Salfiti | Pharmacist | 4921 Long Prairie Rd, Suite 105, Flower Mound, TX 75028-9998 | 2012-02-14 |
| 1275810681 | Robert A Handley Md Pllc | Radiology | 4921 Long Prairie Rd, (fm 2499) Suite 110, Flower Mound, TX 75028-2782 | 2011-11-14 |
| 1093005704 | Megan Dianne Gillem | Family Medicine | 4921 Long Prairie Rd, Suite 100, Flower Mound, TX 75028-2716 | 2011-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578185047 | Too Health LLC | Home Health | 1404 Mimosa Ct, Flower Mound, TX 75028 | 2020-05-07 |
| 1417448127 | Kyle Miller | Physical Therapist | 4401 Long Prairie Rd Ste 300, Flower Mound, TX 75028 | 2018-05-29 |
| 1659898450 | Daniel De Armas | Optometrist | 5801 Long Prairie Rd Ste 360, Flower Mound, TX 75028 | 2017-08-23 |
| 1740727114 | Darya Ilushin | Chiropractor | 4305 Windsor Centre Trl Ste 100, Flower Mound, TX 75028 | 2017-01-24 |
| 1033661194 | Rsquared Healthcare Solutions & Consulting | Dentist | 2121 Lavender Lane, Flower Mound, TX 75028 | 2016-10-25 |
| 1912450578 | Jeannie Jin Wang | Dentist | 4421 Long Prairie Rd., #400, Flower Mound, TX 75028 | 2016-08-01 |
| 1700232121 | Carla Upperman-xu | Pediatrics | 2560 Central Park Ave, Suite 195, Flower Mound, TX 75028 | 2016-05-05 |
| 1487015731 | Bincy Philip | Nurse Practitioner | 500 Flower Mound Rd, Suite 102, Flower Mound, TX 75028 | 2016-03-15 |
| 1710369491 | Medical Massage Rx | Chiropractor | 2616 Long Prairie Rd., Suite 101, Flower Mound, TX 75028 | 2015-06-18 |
| 1821485673 | Audrey Morris | Nurse Practitioner | 4441 Long Prairie Road, Suite 400, Flower Mound, TX 75028 | 2015-04-20 |
| Find all providers in zip 75028 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588279236 | Breanna Parker | Nurse Practitioner | 4001 Long Prairie Rd Ste 123, Flower Mound, TX 75028-1528 | 2020-09-10 |
| 1396356622 | Ann Ball | Nurse Practitioner | 2405 Bayshore Drive, Flower Mound, TX 75022 | 2020-08-11 |
| 1679181440 | Rogelio De La Rosa | Nurse Practitioner | 4504 Trotter Ln, Flower Mound, TX 75028-8774 | 2020-07-17 |
| 1295376630 | Kehinde Romoke Amosun | Nurse Practitioner | 3600 Alberta Ln, Flower Mound, TX 75022-2957 | 2019-10-07 |
| 1760049290 | Randel Stone | Nurse Practitioner | 3101 Churchill Dr Ste 105, Flower Mound, TX 75022-2717 | 2019-05-20 |
| 1871051680 | Ashley Hogan | Nurse Practitioner | 4931 Long Prairie Rd Ste 300, Flower Mound, TX 75028-2789 | 2019-03-11 |
| 1952878803 | Ashley Ryan Wagner | Nurse Practitioner | 2560 Central Park Ave Ste 200, Flower Mound, TX 75028-1566 | 2018-10-30 |
| 1700360286 | Allyson Smith | Nurse Practitioner | 2600 Stillwater Ct, Flower Mound, TX 75022-8038 | 2018-09-20 |
| 1033698352 | Farrah Moralez | Nurse Practitioner | 4320 Windsor Centre Trl Ste 300, Flower Mound, TX 75028-1886 | 2018-08-08 |
| 1093216780 | Uber Surgical Assist LLC | Nurse Practitioner | 1901 Long Prairie Rd Ste 220-81, Flower Mound, TX 75022-4246 | 2018-02-27 |
| Find all providers in FLOWER MOUND | ||||
| City | FLOWER MOUND |
| Zip Code | 75028 |
Please comment or provide details below to improve the information on KELLY 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.