SUZETTE ELISE BENECKE (NPI# 1205469285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205469285 |
Entity Type | Individual |
Full Name | SUZETTE ELISE BENECKE |
Credential | RN, CLE, CCL, |
Practice Address |
2628 Elizabeth Pkwy Fallon NV 89406-5895 |
Practice Telephone | 7758359190 |
Mailing Telephone | 7758359190 |
Enumeration Date | 2020-02-18 |
Last Update Date | 2020-02-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
CCL-771252 | NV | Nursing Service Providers |
Y | 163WX0003X |
Registered Nurse Specialization: Obstetric, Inpatient |
NV22619 | NV | Nursing Service Providers |
N | 174H00000X | Health Educator | 7-201712 | NV | Other Service Providers |
Street Address |
2628 ELIZABETH PKWY |
City | FALLON |
State | NV |
Zip Code | 89406-5895 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073167961 | Banner Churchill Community Hospital | Durable Medical Equipment & Medical Supplies | 801 N. Williams Ave Suite 22017, 2208, 3301, 3309, Fallon, NV 89406 | 2019-07-29 |
1982173936 | Deborah Honeyestewa | Counselor | 1001 Rio Vista Drive, Fallon, NV 89406 | 2018-11-20 |
1528545779 | Be Empowered Health and Wellness LLC | Assistant Behavior Analyst | 1060 Roberta Ct., Fallon, NV 89406 | 2018-07-20 |
1609372325 | Penni Rae Loveland | Community Health Worker | 393 Calloway Court #4, Fallon, NV 89406 | 2018-04-02 |
1205274842 | Sharon Lee Amelung | Counselor | 270 S Maine St., Suite 8, Fallon, NV 89406 | 2013-06-05 |
1295045565 | Mary Ann Dunn | Dental Hygienist | 1001 Rio Vista Dr., C/o Fthc - Dental, Fallon, NV 89406 | 2010-10-20 |
1952578759 | Compassionate In-home Care LLC | Home Health | 37 Whitaker Lane, Fallon, NV 89406 | 2008-05-12 |
1326244757 | Cary Jaques | Dentist | 300 West A Street, Fallon, NV 89406 | 2007-06-22 |
1356542450 | New River Surgical Arts LLC | Clinic/Center | 1120 New River Parkway, Suite 100, Fallon, NV 89406 | 2007-05-29 |
1093927824 | Total Renal Care Inc | Clinic/Center | 1103 New River Parkway, Fallon, NV 89406 | 2007-05-04 |
Find all providers in zip 89406 |
Taxonomy Code | 163WX0003X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Obstetric, Inpatient |
Definition to come... |
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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.