MRS. LUTRICIA FREEMAN BENNETT (NPI# 1124234513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124234513 |
| Entity Type | Individual |
| Full Name | MRS. LUTRICIA FREEMAN BENNETT |
| Credential | FNP |
| Practice Address |
2240 Remount Rd Gastonia NC 28054-4725 |
| Practice Telephone | 7046717483 |
| Practice Fax Number | 7046717482 |
| Mailing Telephone | 7046717483 |
| Mailing Fax Number | 7046717482 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2010-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 5002913 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2240 REMOUNT RD |
| City | GASTONIA |
| State | NC |
| Zip Code | 28054-4725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427044163 | Gary Glenn Gammon | Internal Medicine | 2240 Remount Rd, Gastonia, NC 28054-4725 | 2005-09-27 |
| 1093201345 | April Richard Fulbright | Clinical Pharmacology | 2240 Remount Rd, Gastonia, NC 28054-4725 | 2018-07-10 |
| 1073891719 | Caromont Medical Group Inc | Pathology | 2240 Remount Rd, Ste 300, Gastonia, NC 28054-4725 | 2011-07-29 |
| 1396055026 | Bianca Beyder | Physician Assistant | 2240 Remount Rd, Gastonia, NC 28054-4725 | 2010-10-15 |
| 1649583113 | Kimberly A. Mckenney | Nurse Practitioner | 2240 Remount Rd, Gastonia, NC 28054-4725 | 2010-07-26 |
| 1851535058 | Heath C High | Internal Medicine | 2240 Remount Rd, Suite 100, Gastonia, NC 28054-4725 | 2009-05-01 |
| 1851573380 | Caromont Medical Group Inc | Psychiatry & Neurology | 2240 Remount Rd, Gastonia, NC 28054-4725 | 2007-11-27 |
| 1306966601 | Caromont Medical Group Inc | Psychiatry & Neurology | 2240 Remount Rd, Gastonia, NC 28054-4725 | 2007-03-30 |
| 1053426379 | Richard Alan Fricker | Internal Medicine | 2240 Remount Rd, Gastonia, NC 28054-4725 | 2006-08-19 |
| 1780698753 | Amsalu Moges Bizuneh | Internal Medicine | 2240 Remount Rd, Gastonia, NC 28054-4725 | 2006-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671423 | Michaela Karsyn Morris | Behavioral Analyst | 2875 Court Dr. B, Gastonia, NC 28054 | 2019-10-21 |
| 1982263810 | Brenda Sue Fox | Occupational Therapist | Brian Center, 969 Cox Rd, Gastonia, NC 28054 | 2019-06-13 |
| 1174096911 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 469 Hospital Drive, Suite B1, Gastonia, NC 28054 | 2019-01-04 |
| 1255801817 | Jarae Mcswain | Counselor | 1558 Union Road, Ste F, Gastonia, NC 28054 | 2018-11-27 |
| 1427549807 | Alterman & Dhillon Charlotte Metro, Pplc | Dentist | 2205 E. Franklin Blvd, Ste 110, Gastonia, NC 28054 | 2018-05-22 |
| 1871083147 | Terrence Lamont Campbell | Dentist | 2641 Court Dr Ste A, Gastonia, NC 28054 | 2018-05-13 |
| 1861995367 | Jefferson and Jefferson LLC. | Respite Care | 945 East 6 Ave, Gastonia, NC 28054 | 2018-03-12 |
| 1790154912 | Tyler Adcock | Pharmacist | 2324 South New Hope Rd, Gastonia, NC 28054 | 2015-09-17 |
| 1922481894 | Alesha Nicole Logan | Nurse Practitioner | 1895 Hoffman Rd Ste A, Gastonia, NC 28054 | 2015-07-09 |
| 1457732596 | Buffie Baker Eller | Counselor | 2005 Flint Lane, Gastonia, NC 28054 | 2015-06-15 |
| Find all providers in zip 28054 | ||||
| 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 |
|---|---|---|---|---|
| 1538489414 | Ladeana Walker Gambill | Nurse Practitioner | 1530a Union Road, Gastonia, NC 28054-2201 | 2010-06-02 |
| 1497811079 | Lucianne Cronin | Nurse Practitioner | 1006 Union Rd Ste D, Gastonia, NC 28054-5591 | 2006-12-28 |
| 1902829203 | Cheryl Baxter | Nurse Practitioner | 3320 Robinwood Rd, Ste 100, Gastonia, NC 28054-6689 | 2006-07-26 |
| 1043253776 | Jeanann Vawter | Nurse Practitioner | 924 Cox Road, Gastonia, NC 28054 | 2006-06-13 |
| 1205891843 | Christine L Burns | Nurse Practitioner | 527 S New Hope Rd, Gastonia, NC 28054-4040 | 2006-04-18 |
| 1225036510 | Victoria M Caudill | Nurse Practitioner | 1875 Remount Rd, Gastonia, NC 28054-7413 | 2005-07-11 |
| 1467458588 | Jean Lazenby Benton | Nurse Practitioner | 111 E Third Ave, Gastonia, NC 28052-4343 | 2005-06-23 |
| 1437708310 | Krystin B Hepburn | Nurse Practitioner | 2711 X Ray Dr Ste 3701, Gastonia, NC 28054-7491 | 2019-09-04 |
| 1376000570 | Wanda Lizette Carrington | Nurse Practitioner | 1089 X Ray Dr, Gastonia, NC 28054-7489 | 2019-02-23 |
| 1316403561 | Krystal Marie Gessert-herring | Nurse Practitioner | 2391 Court Dr Ste 110, Gastonia, NC 28054-2197 | 2019-02-13 |
| Find all providers in GASTONIA | ||||
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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.