ANN BENNETT (NPI# 1366952657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366952657 |
| Entity Type | Individual |
| Full Name | ANN BENNETT |
| Credential | IBCLC |
| Practice Address |
2113 Highland Ridge Dr Phoenix MD 21131-1217 |
| Mailing Address |
5959 Lomita Verde Cir Austin TX 78749-4208 |
| Practice Telephone | 9175675260 |
| Practice Fax Number | 9175675260 |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2017-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant, Non-RN | L13482 | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841734639 | Ann Elizabeth Bennett | Marriage & Family Therapist | 116 S Main St Ste 103, Mooresville, NC 28115-2372 | 2016-12-13 |
| 1861891251 | Ann Bennett | Student in an Organized Health Care Education/Training Program | 7817 Sw Brookline Ln, Tigard, OR 97224-8225 | 2014-08-21 |
| 1902849797 | Ann Bennett | Dermatology | 216 Marengo St, Suite D, Florence, AL 35630-6012 | 2006-06-13 |
| Street Address |
2113 HIGHLAND RIDGE DR |
| City | PHOENIX |
| State | MD |
| Zip Code | 21131-1217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124309430 | Amanda Brady Watters Gorman | Registered Nurse | 2113 Highland Ridge Dr, Phoenix, MD 21131-1217 | 2011-08-31 |
| 1104343045 | Kristin Marie Pelletier | Registered Nurse | 2113 Highland Ridge Dr, Phoenix, MD 21131-1217 | 2017-08-22 |
| 1740729466 | Gorman and Associates, LLC | Nurse Practitioner | 2113 Highland Ridge Dr, Phoenix, MD 21131-1217 | 2017-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114118387 | Mina Kirkova | Social Worker | 3009 Jackson Ridge Ct, Phoenix, MD 21131 | 2007-08-05 |
| 1629101381 | Kenneth Barry Sharoff | Social Worker | 1 Cross Creek Ct, Phoenix, MD 21131 | 2007-03-13 |
| 1508999798 | Nancy Lee Sharoff | Social Worker | 1 Cross Creek Ct, Phoenix, MD 21131 | 2007-03-14 |
| 1093977134 | Amy Ruth Rakusin | Counselor | 10 Cross Creek Ct, Phoenix, MD 21131-1000 | 2008-06-30 |
| 1932493616 | Kenneth Sharoff, Phd Inc. | Social Worker | 1 Cross Creek Ct, Phoenix, MD 21131-1000 | 2011-05-31 |
| 1063608735 | Catherine Anderson North | Radiology | 1410 Phoenix Rd W, Phoenix, MD 21131-1024 | 2007-09-17 |
| 1528482643 | Charles Warnke | Speech-Language Pathologist | 13 Stonewood Ct, Phoenix, MD 21131-1116 | 2014-02-10 |
| 1699259580 | Keith Dibenedetto | Nurse Practitioner | 2617 Stockton Rd, Phoenix, MD 21131-1117 | 2018-09-18 |
| 1952775694 | Aileen Mccausland | Occupational Therapy Assistant | 2515 Stockton Rd, Phoenix, MD 21131-1127 | 2015-11-18 |
| 1700131919 | Gina Hoag | Social Worker | 15 Fairwood View Ct, Phoenix, MD 21131-1301 | 2012-07-13 |
| Find all providers in zip 21131 | ||||
| Taxonomy Code | 174N00000X |
| Grouping | Other Service Providers |
| Classification | Lactation Consultant, Non-RN |
| An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033653456 | Carol Kidd | Lactation Consultant, Non-RN | 3424 W Tanya Trl, Phoenix, AZ 85086-4328 | 2016-12-05 |
| 1508319054 | Holistic Lactation LLC | Lactation Consultant, Non-RN | 4717 N 33rd Pl, Phoenix, AZ 85018-3316 | 2016-08-02 |
| 1073972915 | Marylou Sandoval | Lactation Consultant, Non-RN | 3536 W San Juan Ave, Phoenix, AZ 85019-4514 | 2016-02-21 |
| 1093144347 | Kerri Christie | Lactation Consultant, Non-RN | 17806 N 34th Way, Phoenix, AZ 85032-1213 | 2013-11-07 |
| 1407285877 | Marissa Honey-jones | Lactation Consultant, Non-RN | 2543 W Old Paint Trl, Phoenix, AZ 85086-5600 | 2013-11-06 |
| 1639423858 | Estrella Zermeno | Lactation Consultant, Non-RN | 3620 N 6th Ave, Apt 109w, Phoenix, AZ 85013-3765 | 2012-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356976906 | Rebecca Gravenor | Lactation Consultant, Non-RN | 8077 Baptist Church Rd, Mardela Springs, MD 21837-2421 | 2020-03-04 |
| 1144853896 | Kathleen Terese Butler | Lactation Consultant, Non-RN | 7207 Antock Pl, Upper Marlboro, MD 20772-4305 | 2020-02-20 |
| 1003456658 | Laurel Cahill | Lactation Consultant, Non-RN | 13518 Osprey Ln, Solomons, MD 20688-4007 | 2020-01-12 |
| 1790320869 | Melanie Elizabeth Tarr | Lactation Consultant, Non-RN | 205 Groff Rd, Millington, MD 21651-1613 | 2019-11-13 |
| 1255993598 | Leeann L. Fincham | Lactation Consultant, Non-RN | 150 Inverness Rd, Severna Park, MD 21146-1356 | 2019-07-08 |
| 1861953531 | The Breastfeeding Den, LLC | Lactation Consultant, Non-RN | 1810 Roland Ave, Baltimore, MD 21204-3529 | 2019-03-26 |
| 1396210738 | Alexandra Kennedy Webster | Lactation Consultant, Non-RN | 7972 Brightlight Pl, Ellicott City, MD 21043-7959 | 2018-10-12 |
| 1972081404 | Fiona Jardine | Lactation Consultant, Non-RN | 4512 Sheridan St, Riverdale Park, MD 20737-1049 | 2018-08-06 |
| 1174009609 | Charnise Bridgette Littles | Lactation Consultant, Non-RN | 4407 Huntchase Dr, Bowie, MD 20720-3560 | 2018-07-18 |
| 1336625854 | Potomac Birth Services, LLC | Lactation Consultant, Non-RN | 321 Radcliffe Ave, Hagerstown, MD 21740-5717 | 2018-07-17 |
| Find all providers with the same taxonomy | ||||
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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.