MRS. GINA M BENTLEY


Address: 109 W Watauga Ave, Watauga Behavioral Health Services, Johnson City, TN 37604
Phone: 4232322600

MRS. GINA M BENTLEY (NPI# 1053486274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053486274
Entity Type Individual
Full Name MRS. GINA M BENTLEY
Other Name GINA M HOUSER
Credential RN
Practice Address 109 W Watauga Ave
Watauga Behavioral Health Services
Johnson City
TN 37604
Mailing Address Po Box 9054
Gray
TN 37615-9054
Practice Telephone 4232322600
Practice Fax Number 4232322646
Mailing Telephone 4234673600
Mailing Fax Number 4234673696
Enumeration Date 2006-11-22
Last Update Date 2009-04-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse RN87906 TN Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
APN14084 TN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 109 W WATAUGA AVE
WATAUGA BEHAVIORAL HEALTH SERVICES
City JOHNSON CITY
State TN
Zip Code 37604

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922068022 Constance Sue Lackner-mullins Nurse Practitioner 109 W Watauga Ave, Johnson City, TN 37604-5621 2006-03-24
1417565201 Christine A Oaks Counselor 109 W Watauga Ave, Johnson City, TN 37604-5621 2020-07-17
1205459245 Makayla W Shippy Counselor 109 W Watauga Ave, Johnson City, TN 37604-5621 2020-05-26
1336774652 Meagan Elizabeth Smith- Quisenberry Counselor 109 W Watauga Ave, Johnson City, TN 37604-5621 2020-03-06
1063071926 Christy R. Crick Marriage & Family Therapist 109 W Watauga Ave, Johnson City, TN 37604-5621 2019-06-13
1528539582 Aaron Free Counselor 109 W Watauga Ave, Johnson City, TN 37604-5668 2018-12-16
1144700337 Marcus Antonio (tony) Chambers Licensed Practical Nurse 109 W Watauga Ave, Johnson City, TN 37604-5668 2018-08-16
1952897357 Kristina S Roberts Psychologist 109 W Watauga Ave, Johnson City, TN 37604-5621 2018-07-09
1457845869 Lurelle Louise Maxey Counselor 109 W Watauga Ave, Johnson City, TN 37604-5621 2018-06-19
1679079206 Tyler Daniel Garland Case Manager/Care Coordinator 109 W Watauga Ave, Johnson City, TN 37604-5668 2018-04-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417560707 Brant Logan Nickens Physical Therapist 809 Lamont St and Veterans Way, Johnson City, TN 37604 2020-08-26
1952911562 David Sandlin Hobbs Pharmacist Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 2020-08-07
1528688272 Whitney Marie Ward Physical Therapist Lamont Street and Veterans Way, Johnson City, TN 37604 2020-04-23
1861050015 Akesh Thomas Student in an Organized Health Care Education/Training Program Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 2019-06-03
1336629021 Medical Education Assistance Corporation Clinic/Center 820 W Market St, Johnson City, TN 37604 2018-08-21
1093208951 Lauren Tiffany Hayden Physician Assistant 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 2018-06-14
1174014450 Jerica Moore Specialist/Technologist 1041 Hamiltion Place Dr., Johnson City, TN 37604 2018-05-23
1053809442 Syed Ghazanfar Hasan Student in an Organized Health Care Education/Training Program Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 2018-05-01
1699262485 Sonia Kumari Oad Student in an Organized Health Care Education/Training Program 178 West Maple St, Johnson City, TN 37604 2018-04-17
1821519364 Mahmoud El Iskandarani Internal Medicine 1084 W Oakland Avenue, 748, Johnson City, TN 37604 2017-07-06
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801448584 Christopher Zachary Witkowski Nurse Practitioner 8 Parwood Ct, Johnson City, TN 37601-2179 2019-07-12
1922068022 Constance Sue Lackner-mullins Nurse Practitioner 109 W Watauga Ave, Johnson City, TN 37604-5621 2006-03-24
1932740941 Denis Kipkemoi Rono Nurse Practitioner 2700 S Roan St Ste 425, Johnson City, TN 37601-7587 2019-10-01
1093281297 Ernest David Maupin Nurse Practitioner 2151 Century Ln, Johnson City, TN 37604-4469 2018-10-16
1225588007 Melissa Ann Taylor Nurse Practitioner 109 W Watauga Ave, Johnson City, TN 37604-5621 2016-10-05
1831554575 Paige R Mullins Nurse Practitioner 2151 Century Ln, Johnson City, TN 37604-4469 2015-12-23
1902213275 Jasmine Michelle Love Nurse Practitioner 403 N State of Franklin Rd, Johnson City, TN 37604-6034 2014-07-17
1194149229 Terri E Schreiner Nurse Practitioner 365 Stout Dr. Suite 160, Johnson City, TN 37614-7114 2014-02-10
1720337264 Kathrene Carter Brendell Nurse Practitioner 109 W Watauga Ave, Johnson City, TN 37604-5668 2012-08-30
1124387857 Becca Jo Ward Nurse Practitioner 109 W Watauga Ave, Johnson City, TN 37604-5621 2012-05-15
Find all providers in JOHNSON CITY

Competitor

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City JOHNSON CITY
Zip Code 37604

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Dataset Information

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.

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