KATIE RAE BENNETT


Address: 1000 E Eager St, Baltimore, MD 21202-5533
Phone: 4105229800

KATIE RAE BENNETT (NPI# 1215177464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215177464
Entity Type Individual
Full Name KATIE RAE BENNETT
Credential NP-C
Practice Address 1000 E Eager St
Baltimore
MD 21202-5533
Mailing Address 3100 Wyman Park Dr
Baltimore
MD 21211-2803
Practice Telephone 4105229800
Practice Fax Number 4105225136
Mailing Telephone 4103383500
Enumeration Date 2009-03-01
Last Update Date 2012-11-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
R158893 MD Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 1000 E EAGER ST
City BALTIMORE
State MD
Zip Code 21202-5533

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669478335 Rachelle Ann Smith Internal Medicine 1000 E Eager St, Baltimore, MD 21202 2005-06-27
1396366308 Baltimore Medical System Inc Clinic/Center 1000 E Eager St, Baltimore, MD 21202-5533 2020-04-30
1649899287 Brittany Moyer Nurse Practitioner 1000 E Eager St, Baltimore, MD 21202-5533 2020-04-14
1417422932 Johns Hopkins Community Physicians Psychiatry & Neurology 1000 E Eager St, Baltimore, MD 21202-5533 2018-10-11
1659869162 Eunice Shilpa Dugan Student in an Organized Health Care Education/Training Program 1000 E Eager St, Baltimore, MD 21202-5533 2018-04-30
1902301583 Paul Loeser Student in an Organized Health Care Education/Training Program 1000 E Eager St, Baltimore, MD 21202-5533 2018-03-27
1063936771 Walgreen Co Durable Medical Equipment & Medical Supplies 1000 E Eager St, Baltimore, MD 21202-5533 2017-08-03
1497282685 William Stone Ireland Pharmacist 1000 E Eager St, Baltimore, MD 21202-5533 2017-05-18
1225489339 Nelson Daniel Maniscalco Podiatrist 1000 E Eager St, Baltimore, MD 21202-5533 2016-06-29
1760852941 Yiu Cheung Frederick Chim Pharmacist 1000 E Eager St, Baltimore, MD 21202-5533 2015-10-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750938650 Anthony Graves Behavior Technician 414 Light Street, Baltimore, MD 21202 2019-08-25
1235786609 Perfected Medical Billing & Consulting Service Inc. Rehabilitation Counselor 11 E Mt Royal Avenue, 3rd Flr Ste 2, Baltimore, MD 21202 2019-08-21
1700430246 Ronie George Nurse Practitioner 345 St. Paul Place Dept of Pediatrics, Baltimore, MD 21202 2019-08-01
1750940185 Katherine Wachter Mullins Social Worker 200 East North Ave, Related Services - Rm 210, Baltimore, MD 21202 2019-06-10
1720647175 Ivelysse Claudio Cortes Speech-Language Pathologist Rsu/ofic of Spec Educ- Speech-language Department, 200 E North Avenue, Room 211, Baltimore, MD 21202 2019-06-10
1497314157 Debera Marie Reznitsky Speech-Language Pathologist 200 East North Avenue, Related Services Rm 210, Baltimore, MD 21202 2019-06-06
1154989952 Zirka Oksanna Hanas Speech-Language Pathologist 200 E. North Avenue, Related Services Room #210, Baltimore, MD 21202 2019-06-05
1750946224 Lareneque Bartholomew Counselor 110 East Lexington Street, Suite 200, Baltimore, MD 21202 2019-05-09
1700349602 Strategies, Inc. Behavior Analysis & Therapeutic Services Behavioral Analyst 414 Light Street, Baltimore, Md, Usa, 2103, Baltimore, MD 21202 2019-04-09
1902384068 Medical Practice Billing and Solution, LLC Clinic/Center 224 N Gay Street, Baltimore, MD 21202 2018-08-01
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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1750996930 Ashley Tyisha Sydnor Nurse Practitioner 2202 Park Ave Unit 302, Baltimore, MD 21217-4868 2020-09-14
1750992293 Samantha Rodriguez Nurse Practitioner 3989 Boston St, Baltimore, MD 21224-5759 2020-08-10
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1679107916 Ugochi Ebiye Nurse Practitioner 6 Millwheel Ct, Baltimore, MD 21236-2548 2020-02-25
1417580168 Tiwalola Olabisi Akinsade Nurse Practitioner 1496 Reisterstown Rd Ste 220, Baltimore, MD 21208-3819 2020-02-20
1457996688 Lashawn S Scott Nurse Practitioner 301 Saint Paul Pl Ste 409, Baltimore, MD 21202-2165 2019-11-12
1740825041 Rosemary Lokko Nurse Practitioner 2431 Jefferson St, Baltimore, MD 21205-2543 2019-11-10
1881237972 Jennifer Lillian Mothershed Nurse Practitioner 9101 Franklin Square Dr Ste 212, Baltimore, MD 21237-3948 2019-10-22
1376186775 Jessica L Mcauliffe Nurse Practitioner 720 Rutland Ave # 1125, Baltimore, MD 21205-2109 2019-10-18
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Competitor

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City BALTIMORE
Zip Code 21202

Improve Information

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Dataset Information

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.

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