MRS. STEPHANIE J BENNETT


Address: 1000 Se Tech Center Dr Ste 120, Vancouver, WA 98683-5548
Phone: 3602602773

MRS. STEPHANIE J BENNETT (NPI# 1376536706) 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) 1376536706
Entity Type Individual
Full Name MRS. STEPHANIE J BENNETT
Credential ARNP
Practice Address 1000 Se Tech Center Dr Ste 120
Vancouver
WA 98683-5548
Mailing Address Po Box 2077
Portland
OR 97208
Practice Telephone 3602602773
Practice Fax Number 3694874670
Mailing Telephone 5034133900
Enumeration Date 2005-08-31
Last Update Date 2018-10-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner AP30005581 WA Physician Assistants & Advanced Practice Nursing Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP30005581 WA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA 9644915 05

Other Providers STEPHANIE BENNETT

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1992999270 Stephanie R Bennett Physician Assistant 5999 Dundee Rd, Suite 750, Winter Haven, FL 33884-1107 2007-08-30
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Office Location

Street Address 1000 SE TECH CENTER DR STE 120
City VANCOUVER
State WA
Zip Code 98683-5548

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407203243 Mariama Bayoh Nurse Practitioner 1000 Se Tech Center Dr Ste 120, Vancouver, WA 98683-5548 2016-05-23
1164845160 Siobhan Larsen Nelson Speech-Language Pathologist 1000 Se Tech Center Dr Ste 120, Vancouver, WA 98683-5548 2014-01-27
1669893533 Family Wellness Center Family Medicine 1000 Se Tech Center Dr Ste 120, Vancouver, WA 98683-5548 2013-12-19
1669720645 Ciprian Bogdan Pascu Pharmacist 1000 Se Tech Center Dr Ste 120, Vancouver, WA 98683-5548 2012-08-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235761222 Nathaniel James Eugene Powell Behavior Technician 4101se 192nd Ave, Ste 101, Vancouver, WA 98683 2020-02-07
1295294973 Ubmhc1, LLC Clinical Medical Laboratory 18110 Southeast 34th St, Building 2, Suite 240, Vancouver, WA 98683 2019-03-13
1982116695 Amy K Adams Massage Therapist 2716 Se 169th Ave, X-232, Vancouver, WA 98683 2017-11-03
1477088920 Alexandra Ransonet Dental Hygienist 19111 Se 34th. St., Vancouver, WA 98683 2017-04-21
1639618630 Digestive Gi Care Internal Medicine 305 Sw Chkalov Dr, 111-140, Vancouver, WA 98683 2017-02-23
1447706742 Jennifer Horst Massage Therapist 3401 Se 192nd. Ave. Suite 107, Vancouver, WA 98683 2016-08-28
1154702728 Kacie Marie Hamreus Physician Assistant 3101 Se 192nd Avenue, Vancouver, WA 98683 2015-06-09
1851782338 Kathryn Wiedeman Physical Therapy Assistant 801 Se Park Crestt Ave, Vancouver, WA 98683 2015-02-05
1407255326 Jesse Ryan Moses Dentist 16600 Se 15th Street, Suite A, Vancouver, WA 98683 2014-08-15
1366869893 Stephen J Wold II Podiatrist 16701 Ne Mcgillivray Blvd, Ste 220, Vancouver, WA 98683 2014-03-21
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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...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942711767 Julie B Lawrence Nurse Practitioner 900 Ne 139th Street, Suite 202, Vancouver, WA 98685 2017-10-19
1588174833 Oliver Uy Nurse Practitioner 15814 Ne 72nd, Vancouver, WA 98682 2017-10-01
1780103549 Rebecca Adele Rutledge Nurse Practitioner 10503 Ne 67th Ave, Vancouver, WA 98686-5103 2017-09-13
1689044182 Moonstone Medical Group, Pllc Nurse Practitioner 9320 Ne Vancouver Mall Dr, Suite 103, Vancouver, WA 98662-8203 2015-09-28
1366821993 Derek Simmons Nurse Practitioner 700 Ne 87th Ave # 260, Vancouver, WA 98664-1913 2015-05-28
1306155270 Christie Anne Kratovil Nurse Practitioner 8614 E Mill Plain Blvd Ste 310, Vancouver, WA 98664-2058 2010-09-27
1780822916 Stephanie Renee Jones Nurse Practitioner 406 Se 131st Ave Ste 203, Vancouver, WA 98683-4013 2009-01-26
1942484308 Chrissie Collette Russell-wilson Nurse Practitioner 501 Se 172nd Ave Ste 130, Vancouver, WA 98684 2007-12-20
1093831752 Sherrie Lee Thomas Nurse Practitioner Cascade Park Medical Office. 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 2007-03-22
1669575692 Debra Ann Goldstein Nurse Practitioner 12607 S.e. Mill Plain Blvd., Vancouver, WA 98684 2006-09-06
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Competitor

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City VANCOUVER
Zip Code 98683

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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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