ARLON HARRIS BENNETT (NPI# 1083015242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083015242 |
| Entity Type | Individual |
| Full Name | ARLON HARRIS BENNETT |
| Credential | APRN, FNP-C |
| Practice Address |
2230 27th Ave Ste 3 Missoula MT 59804-5128 |
| Practice Telephone | 4067214540 |
| Practice Fax Number | 4067211838 |
| Mailing Telephone | 4067214540 |
| Mailing Fax Number | 4067211838 |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2019-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 100595 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
F0814197 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2230 27TH AVE STE 3 |
| City | MISSOULA |
| State | MT |
| Zip Code | 59804-5128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019297 | Momentum Speech Therapy, PC | Speech-Language Pathologist | 9885 O'brien Creek Road, Missoula, MT 59804 | 2020-10-01 |
| 1033633037 | Marissa Clark | Genetic Counselor, MS | 2827 Fort Missoula Rd., Suite 317, Missoula, MT 59804 | 2017-08-01 |
| 1104295245 | Scott Richter | Specialist/Technologist | 2892 Ringo Dr, Missoula, MT 59804 | 2015-09-18 |
| 1467860353 | Zachary Ueland | Pharmacist | 4000 Highway 93 South, Missoula, MT 59804 | 2014-07-24 |
| 1316378185 | Tracy Laurel Brothers | Counselor | 1305 Wyoming Street, Missoula, MT 59804 | 2013-12-04 |
| 1447683651 | Granite Pharmacy Missoula, LLC | Durable Medical Equipment & Medical Supplies | 2230 27th Ave. West, Suite 2, Missoula, MT 59804 | 2013-08-12 |
| 1871843953 | Autum Emerson Howell | Nurse Practitioner | 2831 Ft. Missoula Rd. Bldg 2, 102, Missoula, MT 59804 | 2012-09-14 |
| 1821353939 | Carlyn Doyle | Nurse Practitioner | 2835 Fort Missoula Rd Ste 203, Missoula, MT 59804 | 2012-07-05 |
| 1396011961 | Patricia Jean Evans | Internal Medicine | 702 S.w. Higgins, First Choice Medical Clinic, Missoula, MT 59804 | 2012-03-28 |
| 1205126794 | Pacific Medical, Inc. | Prosthetic/Orthotic Supplier | 2732 South Ave West, Suite 202, Missoula, MT 59804 | 2011-04-18 |
| Find all providers in zip 59804 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558884064 | Sharon Marie Herndon | Nurse Practitioner | 2230 N Reserve St Ste 402, Missoula, MT 59808 | 2017-07-18 |
| 1750550943 | Mary E Huddle | Nurse Practitioner | 601 W Spruce St Ste C, Occupational Health Services, St. Patrick Hospital, Missoula, MT 59802-4047 | 2008-02-21 |
| 1598837270 | Diedra Bethune | Nurse Practitioner | 219 East Main St, Missoula, MT 59802 | 2006-11-15 |
| 1053407981 | Shelley Smith Otoupalik | Nurse Practitioner | 7473 Grooms Rd, Missoula, MT 59808-9798 | 2006-10-05 |
| 1255356291 | Benjamin J Miller | Nurse Practitioner | 2120 S Reserve St # 133, Missoula, MT 59801-6451 | 2006-07-12 |
| 1982672655 | Eric E Edwards | Nurse Practitioner | 401 Railroad St W, Missoula, MT 59802-4109 | 2006-03-09 |
| 1174154108 | Heidi Lynn Waits | Nurse Practitioner | 2875 Tina Ave, Missoula, MT 59808-1581 | 2020-01-29 |
| 1205394764 | Maria Kelly | Nurse Practitioner | 2901 Brooks St, Missoula, MT 59801-7703 | 2019-03-04 |
| 1689168049 | Kacia Bundle | Nurse Practitioner | 500 W Broadway St, Missoula, MT 59802-4008 | 2018-06-19 |
| 1811497076 | Marnie Jean Deschamps | Nurse Practitioner | 900 N Orange St Ste 203, Missoula, MT 59802-2951 | 2018-02-14 |
| Find all providers in MISSOULA | ||||
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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.