KELLY BENNETT (NPI# 1013329481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013329481 |
| Entity Type | Individual |
| Full Name | KELLY BENNETT |
| Practice Address |
2711 W 15th St Panama City FL 32401-1366 |
| Mailing Address |
8917 N Davis Hwy Apt 119 Pensacola FL 32514-5312 |
| Practice Telephone | 8507696001 |
| Mailing Telephone | 8502187494 |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2014-05-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| 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 |
| 1891184875 | Kelly Bennett | Nurse Practitioner | 4921 Long Prairie Rd, Suite 100, Flower Mound, TX 75028-2716 | 2015-01-14 |
| 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 |
2711 W 15TH ST |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32401-1366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972548022 | Florida Therapy Services Inc | Case Management | 2711 W 15th St, Panama City, FL 32401-1366 | 2006-06-20 |
| 1255992749 | Tawanna Louise Tanner | Counselor | 2711 W 15th St, Panama City, FL 32401-1366 | 2019-06-25 |
| 1073072500 | Cynthia Michelle Gawronski | Counselor | 2711 W 15th St, Panama City, FL 32401-1366 | 2019-03-14 |
| 1649750290 | Cynthia Lorraine Boshelle | Counselor | 2711 W 15th St, Panama City, FL 32401-1366 | 2018-08-14 |
| 1043757768 | Kendall Barron | Counselor | 2711 W 15th St, Panama City, FL 32401-1366 | 2017-01-20 |
| 1255877536 | Hollie Allen | Behavior Technician | 2711 W 15th St, Panama City, FL 32401 | 2017-01-11 |
| 1063956597 | Ericka Keyton | Counselor | 2711 W 15th St, Panama City, FL 32401-1366 | 2016-12-19 |
| 1942742515 | Joseph Price | Counselor | 2711 W 15th St, Panama City, FL 32401-1366 | 2016-11-14 |
| 1033669882 | Neal Smith | Social Worker | 2711 W 15th St, Panama City, FL 32401-1366 | 2016-10-05 |
| 1033667449 | Florida Therapy Services | Clinic/Center | 2711 W 15th St, Panama City, FL 32401-1366 | 2016-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760946727 | Panama City Drugs | Pharmacy | 3127 East Bus 98, Panama City, FL 32401 | 2019-01-24 |
| 1154813418 | Karl Roger Metzger | Pharmacist | 306 S Macarthur Ave, Panama City, FL 32401 | 2018-06-03 |
| 1942703905 | Muhammad Eckhaus | Acupuncturist | 2401 West 15th Street, Panama City, FL 32401 | 2018-03-15 |
| 1922534171 | Wolford Family Practice Inc | Nurse Practitioner | 1027 E Business Hwy 98, Panama City, FL 32401 | 2017-05-10 |
| 1508397381 | Shoreline Medical Solutions & Dme, LLC | Durable Medical Equipment & Medical Supplies | 405 W Oak Ave Ste B, Panama City, FL 32401 | 2017-03-23 |
| 1679027189 | David Lawrence Angier | Behavioral Analyst | 904 Flower Ave, Panama City, FL 32401 | 2016-08-12 |
| 1427422369 | Kathy Purdessy | Nurse Practitioner | 801 E 6th St Ste 604, Panama City, FL 32401 | 2015-11-16 |
| 1881015154 | Anesthesia Unlimited Inc | Nurse Anesthetist, Certified Registered | 801 E 6th Stret, Ste 205, Panama City, FL 32401 | 2014-01-03 |
| 1598193765 | Lashunda Sherese Thomas | Social Worker | 2711 W. 15th St., Panama City, FL 32401 | 2013-10-24 |
| 1144654153 | Raymond Dretti Pacheco | Licensed Practical Nurse | 509 N Center Ave, Panama City, FL 32401 | 2013-08-27 |
| Find all providers in zip 32401 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265049670 | Melissa Anne Chambers | Counselor | 525 E 15th St Bldg A, Panama City, FL 32405-5400 | 2020-09-29 |
| 1265044184 | Coleen Lynnette Hernandez | Counselor | 747 Jenks Ave, Panama City, FL 32401-2582 | 2020-08-21 |
| 1760015408 | Resurgence Counseling LLC | Counselor | 2686 Chapman Dr, Panama City, FL 32405-4914 | 2020-02-21 |
| 1851922835 | Angela Jean Stovall | Counselor | 3219 Ashmore St, Panama City, FL 32404-6285 | 2020-01-29 |
| 1316405822 | Robin Keys | Counselor | 2617 Redtail St, Panama City, FL 32405-6681 | 2019-03-05 |
| 1225596786 | Meleah Beth Lister Smith | Counselor | 625 Jenks Ave, Panama City, FL 32401-2629 | 2019-03-04 |
| 1467921403 | Amy Hancock | Counselor | 1212 W. 19th St., Panama City, FL 32405 | 2018-11-20 |
| 1144671199 | Bruce Alan Griffin | Counselor | 5509 Merritt Brown Rd, Panama City, FL 32404-3008 | 2016-06-30 |
| 1861848640 | Renew Hypnosis and Counseling | Counselor | 1137 Harrison Ave Ste 10, Panama City, FL 32401-2468 | 2016-05-11 |
| 1942666508 | Andrea Mccrary | Counselor | 203a Forest Park Cir, Panama City, FL 32405-4916 | 2016-01-12 |
| Find all providers in PANAMA CITY | ||||
| City | PANAMA CITY |
| Zip Code | 32401 |
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.