LISA RENEE BENNETT (NPI# 1023437886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023437886 |
| Entity Type | Individual |
| Full Name | LISA RENEE BENNETT |
| Other Name | DR. LISA RENEE BENNETT |
| Credential | FNP, BC |
| Practice Address |
1095 Liberty St Ne Salem OR 97301-1137 |
| Practice Telephone | 5035816550 |
| Practice Fax Number | 5035814755 |
| Mailing Telephone | 5035816550 |
| Mailing Fax Number | 5035814755 |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2016-09-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
201607001NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508403312 | Lisa Bennett | Counselor | 692 Blake Ave, Brooklyn, NY 11207-4875 | 2019-11-30 |
| 1568932200 | Lisa M Bennett | Occupational Therapy Assistant | 322 Kraft St, Neenah, WI 54956-4986 | 2018-11-26 |
| 1134514300 | Lisa Marie Bennett | Nurse Practitioner | 1655 Harrington Park Dr, Jacksonville, FL 32225-4938 | 2015-04-03 |
| 1346523909 | Lisa Ann Bennett | Social Worker | 68 Waterman Ave, Albany, NY 12205-3621 | 2011-09-21 |
| 1457577785 | Lisa Cohen Bennett | Psychologist | 919 Village Center Drive Suite #2, Lafayette, CA 94549 | 2007-04-17 |
| 1619010303 | Lisa Bennett | Chiropractor | 7720 W Sahara Ave Ste 104, Las Vegas, NV 89117-2754 | 2007-02-14 |
| 1790706349 | Lisa Bennett | Specialist/Technologist | 1201 39th St, Washougal, WA 98671-9112 | 2006-07-21 |
| 1285678722 | Lisa Marlene Bennett | Optometrist | 11500 Midlothian Tpke, Adjacent To Jc Penney, North Chesterfield, VA 23235-4780 | 2006-06-15 |
| 1760477947 | Lisa G Bennett | Nurse Practitioner | 1602 Harper Rd, Beckley, WV 25801-3310 | 2005-09-14 |
| 1770135501 | Lisa Lynn Bennett | Case Manager/Care Coordinator | 1320 N Morrison Blvd, Hammond, LA 70401-2242 | 2019-07-11 |
| Street Address |
1095 LIBERTY ST NE |
| City | SALEM |
| State | OR |
| Zip Code | 97301-1137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871538819 | John Henry Weller | Nurse Practitioner | 1095 Liberty St Ne, Ste A, Salem, OR 97301-1137 | 2006-06-16 |
| 1720537814 | Bradley K Busey II | Nurse Practitioner | 1095 Liberty St Ne, Salem, OR 97301-1137 | 2016-09-29 |
| 1174717573 | Cascade Family Care PC | Nurse Practitioner | 1095 Liberty St Ne, Ste A, Salem, OR 97301-1137 | 2007-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285247908 | Tracy Jean Payton | Nurse Practitioner | 3898 Lee Road 250, Salem, AL 36874-1450 | 2020-08-24 |
| 1437775137 | Krista Michelle Brinkerhoff | Nurse Practitioner | 636 N 220 E, Salem, UT 84653-5553 | 2020-06-18 |
| 1851913271 | Rossiel Pita-roman | Nurse Practitioner | 25 Oak Ridge Ave Apt 10, Salem, NH 03079-4480 | 2020-05-07 |
| 1487292157 | Kelly Daily Morris | Nurse Practitioner | 5915 Port Stewart Ct Se, Salem, OR 97306-9034 | 2019-12-12 |
| 1174087985 | Brenda Gott | Nurse Practitioner | 3103 Hh Highway, Salem, MO 65560 | 2019-01-25 |
| 1992277594 | Shelisa Rena Taylor | Nurse Practitioner | 1126 Lee Road 250, Salem, AL 36874-1373 | 2018-12-19 |
| 1811472426 | Kathryn B Powell | Nurse Practitioner | 400 Highland Ave Ste 1, Salem, MA 01970-1783 | 2018-09-28 |
| 1609367077 | Jennifer Turner | Nurse Practitioner | 225 Sunbridge Drive, Salem, WV 26426 | 2018-05-22 |
| 1174042535 | Elizabeth Keane | Nurse Practitioner | 9 Riverbank Rd, Salem, MA 01970-5311 | 2017-09-15 |
| 1346766292 | Scott Adam Pasquale | Nurse Practitioner | 331r Highland Ave, Salem, MA 01970-1738 | 2017-08-22 |
| Find all providers in SALEM | ||||
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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.