SARA LIGHT BENNETT (NPI# 1093155566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093155566 |
| Entity Type | Individual |
| Full Name | SARA LIGHT BENNETT |
| Other Name | SARA LIGHT JEFFERSON |
| Credential | LPC, CADC |
| Practice Address |
1720 18th Ave Lewiston ID 83501-4047 |
| Practice Telephone | 2087464097 |
| Practice Fax Number | 2087462294 |
| Mailing Telephone | 2087464097 |
| Mailing Fax Number | 2087462294 |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2013-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
10073 | ID | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC-3973 | ID | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659594364 | Sara Ann Bennett | Speech-Language Pathologist | 2244 Lee St, Batesville, AR 72501-7767 | 2007-04-11 |
| 1912972084 | Sara J. Bennett | Physical Therapist | 3518 Laclede Ave, Marchetti East, Saint Louis, MO 63103-2011 | 2006-02-21 |
| 1043861735 | Sara Bennett | Nurse Practitioner | 460 Spring St, Jeffersonville, IN 47130-3452 | 2019-09-24 |
| 1467014241 | Sara M Bennett | Behavioral Analyst | 650 W Grand Ave Ste 207, Elmhurst, IL 60126-1025 | 2019-07-02 |
| 1083113906 | Sara Bennett | Licensed Practical Nurse | 5905 O St, Lincoln, NE 68510-2235 | 2018-02-06 |
| 1629589064 | Sara Bennett | Nurse Practitioner | 1809 Glen Meade Rd, Wilmington, NC 28403-6022 | 2017-10-12 |
| 1104364173 | Sara Ruth Bennett | Registered Nurse | 4700 Waters Ave, Savannah, GA 31404-6220 | 2017-02-09 |
| 1184162729 | Sara Kay Bennett | Nurse Practitioner | 5860 S Hospital Dr, Suite 102, Globe, AZ 85501-9449 | 2017-02-02 |
| 1285063685 | Sara Bennett | Dietitian, Registered | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2013-11-06 |
| 1346581568 | Sara Lynn Bennett | Veterinarian | 2845 Harlem Ave, Berwyn, IL 60402-2800 | 2013-03-13 |
| Street Address |
1720 18TH AVE |
| City | LEWISTON |
| State | ID |
| Zip Code | 83501-4047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871651422 | Phil Waggoner | Counselor | 1720 18th Ave, Lewiston, ID 83501-4047 | 2006-12-05 |
| 1740806330 | Brianna Nelson | Counselor | 1720 18th Ave, Lewiston, ID 83501-4047 | 2020-06-19 |
| 1326671454 | Leanne Parker | Psychologist | 1720 18th Ave, Lewiston, ID 83501-4047 | 2020-02-17 |
| 1497386585 | Kim Ann Neely | Counselor | 1720 18th Ave, Lewiston, ID 83501-4047 | 2020-01-28 |
| 1366827255 | Riverside Recovery LLC | Counselor | 1720 18th Ave, Lewiston, ID 83501-4047 | 2015-07-21 |
| 1750403994 | Leslee Lynn Whiteman | Counselor | 1720 18th Ave, Lewiston, ID 83501-4047 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679193759 | Jacqueline M Aldrich | Behavior Technician | 3407 12th Street C, 3407 12th Street C, Lewiston, ID 83501 | 2020-04-20 |
| 1295228054 | Provident Foundation - Wedgewood Terrace LLC | Alzheimer Center (Dementia Center) | 2114 Vineyard Avenue, Lewiston, ID 83501 | 2018-06-07 |
| 1164945325 | Xiaofei Liu | Massage Therapist | 234 Thain Rd, Lewiston, ID 83501 | 2017-07-19 |
| 1467909879 | Sharon Thulon | Registered Nurse | 1118 F Street, Lewiston, ID 83501 | 2016-09-01 |
| 1821459496 | Gem State Endoscopy | Clinic/Center | 3709 14th Street, Lewiston, ID 83501 | 2016-03-10 |
| 1508264995 | Gary L. Grogan | Psychologist | 633 Main Street, B#1, Lewiston, ID 83501 | 2014-12-17 |
| 1003189366 | John Joseph Johnson | Dentist | 3510 12th Street, Suite #600, Lewiston, ID 83501 | 2012-02-17 |
| 1306134077 | Rowena Kathryn Jackson | Counselor | 531 Bryden Avenue, Lewiston, ID 83501 | 2011-07-15 |
| 1912290388 | Staci Leanne Truby | Massage Therapist | 717 'd' Street, Lewiston, ID 83501 | 2011-05-18 |
| 1093040685 | Sharie Ann Uhlorn | Registered Nurse | 1837 Alder Court, Lewiston, ID 83501 | 2009-10-15 |
| Find all providers in zip 83501 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922658988 | Bailey G Knox | Counselor | 64 Lisbon St Ste 2, Lewiston, ME 04240-8064 | 2019-09-12 |
| 1538558341 | Michael A Thomas | Counselor | 14 Nancy St, Lewiston, ME 04240-4835 | 2015-01-16 |
| 1306134077 | Rowena Kathryn Jackson | Counselor | 531 Bryden Avenue, Lewiston, ID 83501 | 2011-07-15 |
| 1861794075 | Sara M Karam | Counselor | 72 Strawberry Avenue, Lewiston, ME 04240 | 2010-11-19 |
| 1811204191 | Larry Alan Terherst | Counselor | 1702 16th Ave, Lewiston, ID 83501-4023 | 2010-09-08 |
| 1942533146 | Jessica C Carlson | Counselor | 75 Central Ave, Lewiston, ME 04240-6031 | 2009-09-08 |
| 1871600064 | Sheri A Clark | Counselor | 35 Bardwell St, Lewiston, ME 04240-6335 | 2006-08-24 |
| 1699762823 | Nina J Woods | Counselor | 307 Saint Johns Way, Suite 3, Lewiston, ID 83501-2435 | 2005-10-03 |
| 1851900336 | Allison Barbara Andrews | Counselor | 100 Campus Ave Ste A&b, Lewiston, ME 04240-6040 | 2020-07-30 |
| 1174152623 | Shannon Marie Jones | Counselor | 1118 F St # B, Lewiston, ID 83501-1930 | 2020-04-06 |
| Find all providers in LEWISTON | ||||
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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.