MRS. COURTNEY ANITA BENNETT (NPI# 1336486422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336486422 |
Entity Type | Individual |
Full Name | MRS. COURTNEY ANITA BENNETT |
Credential | APMHNP-BC |
Practice Address |
1455 N Lakeland Dr Meridian MS 39307-9020 |
Mailing Address |
Po Box 4128 Meridian MS 39304-4128 |
Practice Telephone | 6015817559 |
Mailing Telephone | 6015817559 |
Enumeration Date | 2013-01-09 |
Last Update Date | 2020-10-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R878447 | MS | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 02700224 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
1818 College Drive, Meridian, MS 39304 | 6015817603 | 6015817676 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619536125 | Courtney A Bennett | Counselor | 376 E 400 S Ste 4, Springville, UT 84663-1987 | 2019-06-08 |
1760012124 | Courtney M Bennett | Counselor | 2202 Executive Dr Ste C, Hampton, VA 23666-6604 | 2020-01-23 |
1326518762 | Courtney Bennett | Behavior Technician | 1887 Monterey Hwy Ste 225, San Jose, CA 95112-6192 | 2018-11-28 |
1457697302 | Courtney Paul Bennett Jr. | Case Manager/Care Coordinator | 280 Bridge St, Ste 230, Dedham, MA 02026-1759 | 2012-12-21 |
1871861955 | Courtney Bennett | Counselor | 1221 Pierce St, Sioux City, IA 51105-1418 | 2011-12-05 |
1508159492 | Courtney Bennett | Physical Therapist | 115 Ne 100th St, Seattle, WA 98125-8099 | 2011-05-25 |
1295995868 | Courtney Ellen Bennett | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2008-06-16 |
Street Address |
1455 N LAKELAND DR |
City | MERIDIAN |
State | MS |
Zip Code | 39307-9020 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992859946 | Rebecca Blount | Nurse Practitioner | 1455 N Lakeland Dr, Meridian, MS 39307-9020 | 2007-01-23 |
1083275853 | Bailey Laird | Speech-Language Pathologist | 1455 N Lakeland Dr, Meridian, MS 39307-9020 | 2019-06-24 |
1538692892 | Teresa Brown | Physical Therapy Assistant | 1455 N Lakeland Dr, Meridian, MS 39307-9020 | 2017-04-04 |
1285099721 | Haley Smith | Physical Therapy Assistant | 1455 N Lakeland Dr, Meridian, MS 39307-9020 | 2015-12-29 |
1265725865 | Shelly Addkison | Speech-Language Pathologist | 1455 N Lakeland Dr, Meridian, MS 39307-9020 | 2011-05-16 |
1528367000 | Lennie Morron | Physical Therapist | 1455 N Lakeland Dr, Meridian, MS 39307-9020 | 2011-03-23 |
1932340296 | Denitra Cole | Occupational Therapy Assistant | 1455 N Lakeland Dr, Meridian, MS 39307-9020 | 2009-03-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841824232 | Erica Sheree Smith | Registered Nurse | 1818 College Dr, Meridian, MS 39307 | 2020-02-25 |
1518481480 | Derrick Pringle | Social Worker | 110 48th Ave, Meridian, MS 39307 | 2017-08-01 |
1821519547 | Leslie Rutkowski | Student in an Organized Health Care Education/Training Program | 2514 67th Avenue Loop Suite 112, Meridian, MS 39307 | 2017-07-03 |
1811254931 | Meridian Community College | Dentist | 910 Highway 19 North, Meridian, MS 39307 | 2012-04-13 |
1548533672 | Carvan Lorraine Carter | Counselor | 1807 39th Pl, Meridian, MS 39307 | 2012-02-21 |
1699921148 | Sara B Smith | Counselor | 1415 College Drive, Meridian, MS 39307 | 2008-08-15 |
1285856112 | Jan Parr Boggs | Psychologist | 1508 37th Avenue, Meridian, MS 39307 | 2007-05-02 |
1720694029 | Michelle Gomez Dickerson | Registered Nurse | 1818 College Drive, Meridian, MS 39307 | 2020-09-22 |
1770116030 | Briana Shanee Brunson | Nurse Practitioner | 1818 College Drive, Meridian, MS 39307 | 2020-02-14 |
1619507407 | Brenda A Thompson | Nurse Practitioner | 1818 College Drive, Meridian, MS 39307 | 2020-01-21 |
Find all providers in zip 39307 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811428915 | Tierria Mcglothin | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301 | 2017-03-21 |
1386020592 | Evelyn Michele Dunn | Nurse Practitioner | 10641 Highway 80 East, Meridian, MS 39307-9256 | 2015-08-11 |
1174909865 | Priscilla May Mathis | Nurse Practitioner | 4973 C A Pickard Rd, Meridian, MS 39301-9031 | 2015-08-04 |
1134497464 | Rebekah Danielle Nation | Nurse Practitioner | 1404 N Main St, Suite 101, Meridian, ID 83642-2799 | 2011-12-01 |
1053691980 | Carrie Kay Bowman | Nurse Practitioner | 1944 N Hillmont Ave, Meridian, ID 83646-1385 | 2011-08-23 |
1700865235 | Stacy Rae Andreacchio | Nurse Practitioner | 5004 Highway 39 N, Meridian, MS 39301-1021 | 2006-01-12 |
1205461167 | Portia Elaine Nunley | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301-8205 | 2020-03-10 |
1770116030 | Briana Shanee Brunson | Nurse Practitioner | 1818 College Drive, Meridian, MS 39307 | 2020-02-14 |
1629600721 | Shauntae Causey | Nurse Practitioner | 5000 Highway 39 N, Meridian, MS 39301-1021 | 2020-02-06 |
1619507407 | Brenda A Thompson | Nurse Practitioner | 1818 College Drive, Meridian, MS 39307 | 2020-01-21 |
Find all providers in MERIDIAN |
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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.