JENNIFER L BENNETT (NPI# 1063493922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063493922 |
| Entity Type | Individual |
| Full Name | JENNIFER L BENNETT |
| Credential | MD |
| Practice Address |
509 S Armenia Ave Ste 200 Tampa FL 33609-3395 |
| Mailing Address |
Po Box 917770 Orlando FL 32891-0001 |
| Practice Telephone | 8139742201 |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2019-12-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
ME69510 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD | 46820 | 01 |
| FL | 272137600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861026007 | Jennifer Bennett | Speech-Language Pathologist | 225 Chaco Canyon Dr, Henderson, NV 89074-1987 | 2020-02-26 |
| 1801438353 | Jennifer Bennett | Pharmacist | 347 Sw Main Blvd Suite 102, Lake City, FL 32025 | 2019-10-16 |
| 1497224794 | Jennifer Christine Bennett | Occupational Therapy Assistant | 3016 Corona Dr, Holiday, FL 34690-2212 | 2018-11-15 |
| 1134600125 | Jennifer Bennett | Student in an Organized Health Care Education/Training Program | 20 Westgate Dr, San Francisco, CA 94127-2738 | 2018-08-27 |
| 1386138600 | Jennifer M Bennett | Specialist | 46691 Cavendish Sq, Sterling, VA 20165 | 2018-06-20 |
| 1588166037 | Jennifer Bennett | Counselor | 100 Elmwood Park Dr. Suite 201, Dayton, OH 45449 | 2018-03-01 |
| 1396282281 | Jennifer Bennett | Speech-Language Pathologist | 5308 Serene Forest Dr, Apex, NC 27539-4128 | 2017-01-30 |
| 1639536568 | Jennifer Bennett | Pharmacist | 977 W Will Rogers Blvd, Claremore, OK 74017-5040 | 2016-01-22 |
| 1972970218 | Jennifer Bennett | Occupational Therapist | 15325 S Lone Elm Rd, Olathe, KS 66061-5416 | 2015-08-21 |
| 1811389992 | Jennifer Bennett | Speech-Language Pathologist | 415 N Nickelplate St, Louisville, OH 44641-1567 | 2015-02-25 |
| Street Address |
509 S ARMENIA AVE STE 200 |
| City | TAMPA |
| State | FL |
| Zip Code | 33609-3395 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710460803 | Abigail Crouch | Nurse Practitioner | 509 S Armenia Ave Ste 200, Tampa, FL 33609-3395 | 2018-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427521970 | Kampsen Hearing LLC | Audiologist | 310 South Macdill Avenue, Suite 202, Tampa, FL 33609 | 2019-01-08 |
| 1629557319 | Priscilla Luna-mitchum | Physical Therapist | 2700 W M.l.k Jr Blvd, Suite 300, Tampa, FL 33609 | 2018-08-13 |
| 1043735657 | Mary Elizabeth Osbach | Registered Nurse | 3211 W Swann Ave, Unit 1106, Tampa, FL 33609 | 2017-08-04 |
| 1497275317 | Jeilyn M Jimenez | Developmental Therapist | 550 N Reo Street, Tampa, FL 33609 | 2017-06-21 |
| 1033658513 | Adela Reeb | Specialist/Technologist | 909 North Dale Mabry Hwy, Tampa, FL 33609 | 2017-02-17 |
| 1033561261 | Abigail Marie Richardson | Developmental Therapist | 555 North Reo Street, Tampa, FL 33609 | 2016-07-12 |
| 1275992448 | Jennifer Stich | Behavioral Analyst | 3210 W De Leon St # B, Tampa, FL 33609 | 2016-02-16 |
| 1154711505 | Health E Systems, LLC | Transportation Broker | 5100 W. Lemon Street, Suite 311, Tampa, FL 33609 | 2015-01-23 |
| 1619375292 | Healthexchange Systems, LLC | Home Health | 5100 West Lemon Street, Suite 311, Tampa, FL 33609 | 2014-12-12 |
| 1538567458 | Calvin Harrison Iv | Occupational Therapist | 600 N. Westshore Blvd, Suite 600, Tampa, FL 33609 | 2014-12-09 |
| Find all providers in zip 33609 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982128062 | Jaime F Casellas Md Corp | Internal Medicine | 4600 N Habana Ave Suit #13, Tampa, FL 33614 | 2017-07-31 |
| 1619309499 | Adithya K Gandhi Md Plc | Internal Medicine | 18128 Longwater Run Dr, Tampa, FL 33647-2211 | 2013-08-05 |
| 1336418474 | Clinical&diagnostic Cardiology | Internal Medicine | 16057 Tampa Palms Blvd W, 244, Tampa, FL 33647-2001 | 2011-12-19 |
| 1508185612 | Andrea Fae Tordini | Internal Medicine | 2727 W Dr Martin Luther King Jr Blvd Ste 760, Tampa, FL 33607 | 2010-05-28 |
| 1487984167 | Robert Arthur Turkel | Internal Medicine | 328 Inner Harbour Cir, Tampa, FL 33602-5967 | 2010-01-03 |
| 1932398740 | Phong Q Ong | Internal Medicine | 5919 Webb Rd, Tampa, FL 33615-3219 | 2007-10-17 |
| 1407049919 | Westchase Cardiology Pa | Internal Medicine | 11373 Countryway Blvd, Tampa, FL 33626-2610 | 2007-08-20 |
| 1174741565 | Cesar Alberto Morales-pabon | Internal Medicine | 2919 W Swann Ave Ste 105b, Tampa, FL 33609-4049 | 2007-04-23 |
| 1487788220 | Kristine V Owen | Internal Medicine | 823 S Oregon Ave, Apt #4, Tampa, FL 33606-2852 | 2007-03-15 |
| 1962578591 | Alejandro Ignacio Michel | Internal Medicine | 13701 Bruce B Downs Blvd Ste 105, Tampa, FL 33613-4647 | 2006-11-27 |
| Find all providers in TAMPA | ||||
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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.