LAUREN MARIE BENNETT (NPI# 1962003830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962003830 |
| Entity Type | Individual |
| Full Name | LAUREN MARIE BENNETT |
| Practice Address |
1170 Marsh Laurel Ave North Pole AK 99705-5969 |
| Practice Telephone | 3157255918 |
| Mailing Telephone | 3157255918 |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245830181 | Lauren Bennett | Physician Assistant | 3360 Horizon St, Corona, CA 92881-0728 | 2020-10-29 |
| 1710499843 | Lauren Bennett | Nurse Anesthetist, Certified Registered | 6307 Tunston Ln, Charlotte, NC 28269-6915 | 2017-10-30 |
| 1720590854 | Lauren Bennett | Massage Therapist | 1235 Upper Front St, Binghamton, NY 13905-1168 | 2017-10-30 |
| 1609325299 | Lauren Rhea Bennett | Community Health Worker | 308 Mcintosh Dr, Saint Marys, GA 31558-2932 | 2016-09-24 |
| 1497031751 | Lauren Bennett | Specialist/Technologist | 3550 Osage St, Denver, CO 80211-3060 | 2011-10-31 |
| 1346853009 | Lauren Bennett | Physical Therapist | 78c Olympia Ave, Woburn, MA 01801-2057 | 2020-08-24 |
| 1467914044 | Lauren Azeez Bennett | Social Worker | 400 Doansburg Rd, Brewster, NY 10509-5902 | 2019-04-03 |
| 1073089009 | Lauren Tiffany Bennett | Rehabilitation Practitioner | 100 W Walnut St Ste 375, Pasadena, CA 91124-0001 | 2018-10-17 |
| 1255831814 | Lauren Bennett | Physician Assistant | 5645 Main St, Flushing, NY 11355-5045 | 2018-02-20 |
| 1376053629 | Lauren Bennett | Early Intervention Provider Agency | 804 3rd St Se, Washington, DC 20003-3443 | 2017-10-01 |
| Street Address |
1170 MARSH LAUREL AVE |
| City | NORTH POLE |
| State | AK |
| Zip Code | 99705-5969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225508815 | Madison Grove | Behavioral Analyst | 203 S. Santa Claus Lane, North Pole, AK 99705 | 2018-11-27 |
| 1104393123 | Jessica Marie Childress | Behavioral Analyst | 203 Santa Clause, North Pole, AK 99705 | 2018-10-29 |
| 1346722279 | Kimberly Shriner | Student in an Organized Health Care Education/Training Program | 1970 Hollowell Rd, North Pole, AK 99705 | 2018-09-06 |
| 1780108993 | Tracy Norris | Behavior Technician | 1000 Borda St., North Pole, AK 99705 | 2017-07-29 |
| 1912134420 | Donald Jermome Kosatka | Psychiatry & Neurology | Building 4066 602nd Street, Bassett Army Community Hospital, Fort Wainwright, AK 99705 | 2009-06-11 |
| 1174796247 | Monique Dase Smith | Psychiatry & Neurology | 1650 Cowles St., Fairbanks, AK 99705 | 2008-04-09 |
| 1376742494 | Vicki Elaine Readnour | Physical Therapist | 167-b Santa Claus Lane, North Pole, AK 99705 | 2007-07-18 |
| 1114091527 | Helyn M Lefgren | Family Medicine | 145 Santa Claus Lane, North Pole, AK 99705 | 2006-11-17 |
| 1174695803 | Eric P Buetow | Dentist | 2933 Horseshoe Way, North Pole, AK 99705 | 2006-11-15 |
| 1770578296 | North Pole Prescription Laboratory Inc | Pharmacy | 167 Santa Claus Lane, North Pole, AK 99705 | 2005-09-12 |
| Find all providers in zip 99705 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821302696 | Amy Ann Hendrickson | Case Manager/Care Coordinator | 2545 Rossons Cross Way, North Pole, AK 99705-7909 | 2010-08-03 |
| 1134371552 | Suzanne Jean Beecher Ruchti | Case Manager/Care Coordinator | 1805 Alder St, North Pole, AK 99705-5422 | 2008-10-16 |
| 1659632214 | Choice Care LLC | Case Manager/Care Coordinator | 1805 Alder St, North Pole, AK 99705-5422 | 2012-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012920 | Katie Kendrick | Case Manager/Care Coordinator | 510 Upland St, Kenai, AK 99611-8028 | 2020-10-29 |
| 1194337519 | Michael P Nicolai | Case Manager/Care Coordinator | 829 Chief Eddie Hoffman Hey, Bethel, AK 99559 | 2020-08-18 |
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1710597679 | Holly Reynoso | Case Manager/Care Coordinator | 14232 Snowdrift Way, Anchorage, AK 99515-4165 | 2020-08-05 |
| 1588272157 | Far North Care Coordination Agency | Case Manager/Care Coordinator | 2230 Sentry Dr Apt B308, Anchorage, AK 99507-4688 | 2020-07-20 |
| 1922625276 | Heather Tenboer | Case Manager/Care Coordinator | 3480 W Birch Meadows Rd, Wasilla, AK 99654-0534 | 2020-07-02 |
| 1518581834 | Eric Edward Villasenor | Case Manager/Care Coordinator | 1515 E Tudor Rd Ste 9a, Anchorage, AK 99507-1036 | 2020-06-02 |
| 1982225934 | Rebecca Cho | Case Manager/Care Coordinator | 7556 Tarsus Dr, Anchorage, AK 99502-1888 | 2020-04-30 |
| 1396365086 | Kaleidoscope Care Coordination LLC | Case Manager/Care Coordinator | 6534 Mulberry Dr, Anchorage, AK 99502-2160 | 2020-04-22 |
| 1245850403 | Positive Path LLC | Case Manager/Care Coordinator | 7647 W Tia Terrace Dr, Wasilla, AK 99623-0332 | 2020-04-17 |
| Find all providers with the same taxonomy | ||||
| City | NORTH POLE |
| Zip Code | 99705 |
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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.