BROOKE BENNETT (NPI# 1992250096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992250096 |
| Entity Type | Individual |
| Full Name | BROOKE BENNETT |
| Credential | PA-C |
| Practice Address |
4921 W 18th St Lawrence KS 66047-2090 |
| Mailing Address |
550 Stoneridge Dr Apt F210 Lawrence KS 66049-4810 |
| Practice Telephone | 7858300100 |
| Practice Fax Number | 7858300115 |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2016-12-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477172401 | Brooke Carina Bennett | Pharmacist | 4025 Delridge Way Sw Ste 400, Seattle, WA 98106-1273 | 2020-04-09 |
| 1265913115 | Brooke Bennett | Pharmacist | 1920 Elm St, Dubuque, IA 52001-3641 | 2018-08-28 |
| 1598215337 | Brooke Bennett | Occupational Therapist | 502 E Race Ave, Searcy, AR 72143-4417 | 2016-10-05 |
| 1346555315 | Brooke Ann Bennett | Clinical Nurse Specialist | 902 Washington Rd, Suite E, Westminster, MD 21157-5832 | 2010-08-13 |
| Street Address |
4921 W 18TH ST |
| City | LAWRENCE |
| State | KS |
| Zip Code | 66047-2090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972546679 | Douglas Lloyd Funk | Pharmacist | 4921 W 18th St, Lawrence, KS 66047-2090 | 2006-06-13 |
| 1881155190 | Michelle B Lackamp | Family Medicine | 4921 W 18th St, Lawrence, KS 66047-2090 | 2019-03-28 |
| 1467935148 | Shannon Kopp | Physician Assistant | 4921 W 18th St, Lawrence, KS 66047-2090 | 2018-09-10 |
| 1457890949 | Heather Doeren Bridgens | Physician Assistant | 4921 W 18th St, Lawrence, KS 66047-2090 | 2017-02-16 |
| 1295104891 | Sara Katherine Holmes | Physician Assistant | 4921 W 18th St, Lawrence, KS 66047-2090 | 2015-09-24 |
| 1881913127 | Healthy Balance, Inc. | Clinic/Center | 4921 W 18th St, Lawrence, KS 66047-2090 | 2010-05-26 |
| 1528270360 | Jessi M Siler | Physician Assistant | 4921 W 18th St, Lawrence, KS 66047-2090 | 2007-05-04 |
| 1679590681 | Family Medicine Associates Pa | Family Medicine | 4921 W 18th St, Lawrence, KS 66047-2090 | 2006-07-16 |
| 1407881618 | Brianne J. Cook | Physician Assistant | 4921 W 18th St, Lawrence, KS 66047-2090 | 2006-07-12 |
| 1427089333 | Stacey R. Anderson | Physician Assistant | 4921 W 18th St, Lawrence, KS 66047-2090 | 2006-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497239818 | Jd Sigler Publishing Company | Public Health or Welfare | 4951 West 18th Street, Lawrence, KS 66047 | 2018-09-21 |
| 1275063786 | Kathryn Elizabeth Hallacy | Physical Therapist | 3500 Clinton Place, Therapy Services, Lawrence, KS 66047 | 2017-06-16 |
| 1912302647 | Danielle Wilson | Counselor | 3205 Clinton Pkwy, Lawrence, KS 66047 | 2014-10-23 |
| 1063751592 | Meaghan Palmer | Respite Care | 4101 West 24th Place, #710, Lawrence, KS 66047 | 2013-02-04 |
| 1609098151 | Teakwood Psychological Resources, P.a. | Specialist | 2201 W 25th Street, Suite 0, Lawrence, KS 66047 | 2007-05-03 |
| 1205994910 | Farhang R. Khosh | Acupuncturist | 4935 Research Parkway, Lawrence, KS 66047 | 2006-12-05 |
| 1447347703 | Keith Allen White | Chiropractor | 2120 West 25th, Suite A, Lawrence, KS 66047 | 2006-10-06 |
| 1043310089 | Cynthia Louise Schnacke | Psychologist | Teakwood Psychological Resources, 2201 W. 25th Street, Suite O, Lawrence, KS 66047 | 2006-09-22 |
| 1134225329 | Mark Howarter | Chiropractor | 3320 Clinton Parkway Ct Ste 100, Lawrence, KS 66047 | 2006-09-15 |
| 1396708855 | Carla B Phipps | Family Medicine | 4951 W 18th St, Lawrence, KS 66047 | 2006-04-07 |
| Find all providers in zip 66047 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922547371 | Anna Ruelberg | Physician Assistant | 4921 W 18th Street, Lawrence, KS 66047-2090 | 2017-02-17 |
| 1467935148 | Shannon Kopp | Physician Assistant | 4921 W 18th St, Lawrence, KS 66047-2090 | 2018-09-10 |
| 1811433733 | Grant Miller | Physician Assistant | 6265 Rock Chalk Dr, Suite 1500, Lawrence, KS 66049-5232 | 2017-01-17 |
| 1629463948 | Rebecca Marie Rendina | Physician Assistant | 360 Merrimack St, Lawrence, MA 01843-1740 | 2015-04-02 |
| 1174895262 | Tara Z Stecklein | Physician Assistant | 4930 Overland Drive, Lawrence, KS 66046 | 2012-02-03 |
| 1073815452 | Melissa A Kramer | Physician Assistant | 325 Maine St, Lawrence, KS 66044-1360 | 2010-11-17 |
| 1093040438 | Britani L Congleton | Physician Assistant | 4930 Overland Drive, Lawrence, KS 66049 | 2009-10-02 |
| 1598997488 | Joseph T Miccoli | Physician Assistant | 215 Rockaway Tpke, Lawrence, NY 11559-1216 | 2009-08-11 |
| 1659389088 | Asima J Chowdhry | Physician Assistant | 73d Winthrop Ave, Lawrence, MA 01843-3716 | 2006-08-03 |
| 1407881618 | Brianne J. Cook | Physician Assistant | 4921 W 18th St, Lawrence, KS 66047-2090 | 2006-07-12 |
| Find all providers in LAWRENCE | ||||
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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.