AMANDA BENNETT (NPI# 1962867838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962867838 |
| Entity Type | Individual |
| Full Name | AMANDA BENNETT |
| Other Name | AMANDA BAYLESS |
| Credential | ATC, LAT, PES, EMT-B |
| Practice Address |
705 Central Parke Cir Apt 208 Lakeland FL 33805-9590 |
| Practice Telephone | 8655569589 |
| Mailing Telephone | 8655569589 |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2015-12-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | AL3539 | FL | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750858056 | Amanda Bennett | Nurse Practitioner | 2000 Riverside Pkwy Ste 207, Lawrenceville, GA 30043-5926 | 2018-10-25 |
| 1700302528 | Amanda Elizabeth Bennett | Nurse Practitioner | 102 South Thrid Street, Suite 100, Carson City, MI 48811 | 2017-08-15 |
| 1023436847 | Amanda Laine Bennett | Student in an Organized Health Care Education/Training Program | 137 S Alexander St, New Orleans, LA 70119-5904 | 2014-03-29 |
| 1891838041 | Amanda Renee Bennett | Pharmacy Technician | 580 E Diamond Ave, Evansville, IN 47711-3716 | 2007-02-15 |
| 1558329862 | Amanda Dawn Bennett | Nurse Practitioner | 801 W Rex Allen Dr, Willcox, AZ 85643-1129 | 2006-05-03 |
| 1578533345 | Amanda K Bennett | Family Medicine | 2585 3rd Avenue, Huntington, WV 25703 | 2006-01-25 |
| 1992346944 | Amanda Lorraine Bennett | Counselor | 2801 N Flagler Dr, West Palm Beach, FL 33407-5215 | 2019-10-01 |
| 1851862577 | Amanda Bennett | Nurse Practitioner | 1200 7th Ave N, St Petersburg, FL 33705-1300 | 2018-12-06 |
| 1205321692 | Amanda Bennett | Behavior Technician | 3595 2nd Ave N, Palm Springs, FL 33461-4027 | 2018-06-27 |
| 1427559624 | Amanda Bennett | Behavior Technician | 25115 Avenue Stanford Ste 100, Valencia, CA 91355-4791 | 2018-02-22 |
| Street Address |
705 CENTRAL PARKE CIR APT 208 |
| City | LAKELAND |
| State | FL |
| Zip Code | 33805-9590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477188704 | Ernie Tairon Lugo | Nursing Home Administrator | 5210 State Road N 33, Lot 8, Lakeland, FL 33805 | 2020-03-06 |
| 1912546631 | Francis Esperanzate | Physical Therapist | 5070 Menlo Parke Way, Lakeland, FL 33805 | 2019-12-27 |
| 1689232514 | Anointed Touch | Home Health | 617 S Robson Street, Lakeland, FL 33805 | 2019-06-05 |
| 1083160642 | Cherlande Pierre | Chiropractor | 1507 Lakeland Hills Blvd Ste 109, Lakeland, FL 33805 | 2016-09-01 |
| 1992251706 | Damaris Salmeron | Physical Therapy Assistant | 3127 Us Hwy 98 N, Lakeland, FL 33805 | 2016-08-31 |
| 1831589076 | Sarah Mcneill | Pharmacist | 3124 Lakeland Hills Blvd, Lakeland, FL 33805 | 2015-01-26 |
| 1750706479 | Alison M Busby | Counselor | Achievement Academy Inc, 716 E. Bella Vista St, Lakeland, FL 33805 | 2014-03-04 |
| 1174872907 | William Vargas, M.d. P. A. | Anesthesiology | 202 Parkview Place, Lakeland, FL 33805 | 2012-09-07 |
| 1184998056 | Eduardo Francisco Lopez Garcia | Internal Medicine | 135 E First Street, Lakeland, FL 33805 | 2012-02-24 |
| 1255625513 | Navdeep Singh Jassal | Physical Medicine & Rehabilitation | 1417 Lakeland Hills Blvd Ste 201, Lakeland, FL 33805 | 2011-06-04 |
| Find all providers in zip 33805 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669908836 | Integrative Physical Medicine of Lakeland LLC | Specialist | 1205 East Magnolia St, Suite 105, Lakeland, FL 33801 | 2017-05-10 |
| 1730512252 | Tampa Obstetrics, P.a. | Specialist | 1525 Lakeland Hills Blvd, Lakeland, FL 33805-3203 | 2013-08-20 |
| 1720323512 | Select Physical Therapy | Specialist | 3317 Us Highway 98 S Ste 6, Lakeland, FL 33803-8316 | 2012-12-05 |
| 1871865980 | William Riley Kendrick Jr. | Specialist | 3358 Bentbrooke Cv, Lakeland, TN 38002-5746 | 2012-02-04 |
| 1255654554 | Hai Yang | Specialist | 6838 Huntington Hills Blvd, Lakeland, FL 33810-5378 | 2010-03-01 |
| 1366688954 | Jeanne Martha Raschke | Specialist | 315 Faye Cir N, Lakeland, FL 33813-1512 | 2009-01-02 |
| 1245486869 | King Fernand | Specialist | 2240 Us Highway 92 E, Lakeland, FL 33801-2448 | 2008-08-14 |
| 1043480502 | American Care of Tampa Inc. | Specialist | 2600 Industrial Park Dr, Suite C, Lakeland, FL 33801-7135 | 2008-03-11 |
| 1962556878 | North Lakeland Pain & Trauma Inc | Specialist | 5516 Us 98 North, Lakeland, FL 33809 | 2007-01-22 |
| 1568536126 | Timothy E Knight | Specialist | 6500 N Socrum Loop Rd, Suite 100, Lakeland, FL 33809-4308 | 2006-11-17 |
| Find all providers in LAKELAND | ||||
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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.