REGINA BENNETT (NPI# 1417333188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417333188 |
| Entity Type | Individual |
| Full Name | REGINA BENNETT |
| Credential | APN |
| Practice Address |
1 Medical Park Dr Benton AR 72015-3353 |
| Practice Telephone | 5015747130 |
| Mailing Telephone | 5015747130 |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2018-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
A005962 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528131158 | Regina V Bennett | Chiropractor | 1893 Drew Street, Clearwater, FL 33765 | 2006-11-15 |
| 1912995010 | Regina M Bennett | Nurse Practitioner | 200 W. Hospital Dr., Whiteriver, AZ 85941-0860 | 2005-10-12 |
| 1205396876 | Regina Bennett | Assistant Behavior Analyst | 1478 Old Central Rd, Greenville, AL 36037-6159 | 2019-03-20 |
| 1487972931 | Regina Bennett | Counselor | 1053 N D St, San Bernardino, CA 92410-3521 | 2010-05-07 |
| Street Address |
1 MEDICAL PARK DR |
| City | BENTON |
| State | AR |
| Zip Code | 72015-3353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808217 | Megan Wheat | Nurse Practitioner | 1 Medical Park Dr, Benton, AR 72015-3353 | 2020-10-09 |
| 1861019721 | Traci C Crump | Nurse Practitioner | 1 Medical Park Dr, Benton, AR 72015-3353 | 2020-06-26 |
| 1669091195 | Jessica Lee Roper | Nurse Practitioner | 1 Medical Park Dr, Benton, AR 72015-3353 | 2020-04-14 |
| 1134767627 | Penny Kaye Bettis | Nurse Practitioner | 1 Medical Park Dr, Benton, AR 72015-3353 | 2019-12-15 |
| 1598328163 | Rachel Catherine Huynh | Nurse Practitioner | 1 Medical Park Dr, Benton, AR 72015-3353 | 2019-04-18 |
| 1154889707 | Panfilo Estrada-flores | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 Medical Park Dr, Benton, AR 72015-3353 | 2019-03-03 |
| 1063976389 | Mackenzie Cole | Physician Assistant | 1 Medical Park Dr, Benton, AR 72015-3353 | 2019-01-31 |
| 1396224002 | Devin Annette Devlin | Nurse Practitioner | 1 Medical Park Dr, Benton, AR 72015-3353 | 2018-08-13 |
| 1679084404 | Lindsay Queen | Dietitian, Registered | 1 Medical Park Dr, Benton, AR 72015-3353 | 2017-10-19 |
| 1073031878 | Jennifer Faughn Neighbors | Nurse Practitioner | 1 Medical Park Dr, Benton, AR 72015-3353 | 2017-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790343135 | Justin King | Case Manager/Care Coordinator | 1502 Mary Kay Blv6, Benton, AR 72015 | 2019-05-31 |
| 1790253326 | Seth Alexander Weisheit | Nurse Practitioner | 824 Military Road, Benton, AR 72015 | 2018-11-13 |
| 1396269627 | Abby G Sims | Speech-Language Pathologist | 3391 Peachtree Lane, Benton, AR 72015 | 2017-07-28 |
| 1225551278 | Jessica R Poe | Case Manager/Care Coordinator | 1502 Marykay Blvd, Benton, AR 72015 | 2017-07-21 |
| 1003357997 | Jamaal Langston | Case Manager/Care Coordinator | 1502 Mark Kay Blvd, Benton, AR 72015 | 2017-03-13 |
| 1881138550 | Shannon Gachot-ridgley | Counselor | 205 South Street Suite 3, Benton, AR 72015 | 2016-12-14 |
| 1295104578 | Excel Health of Haskell, Pllc | Clinical Nurse Specialist | 6029 Us Hwy 67, Haskell, AR 72015 | 2015-09-17 |
| 1528464054 | Kacey Jo Kiker | Nurse Practitioner | 620 W South St, Benton, AR 72015 | 2014-11-11 |
| 1700218252 | Jamie Brunt | Licensed Practical Nurse | 1718 Old Hot Springs Rd, Benton, AR 72015 | 2013-08-07 |
| 1760738942 | Kari J Richards | Physical Therapist | 5701 Springhill Rd, Bryant, AR 72015 | 2012-07-25 |
| Find all providers in zip 72015 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285231043 | Harold Anthony Flood | Nurse Practitioner | 114 E 20th St, Benton, KY 42025-1721 | 2020-10-05 |
| 1366089740 | Katelyn Layne Ledbetter | Nurse Practitioner | 8 Summerwood Dr, Benton, AR 72019-1925 | 2019-12-05 |
| 1629012034 | Kimberly R Ratcliff | Nurse Practitioner | 1312 Nivens Rd, Benton, MS 39039-9132 | 2006-06-15 |
| 1942808217 | Megan Wheat | Nurse Practitioner | 1 Medical Park Dr, Benton, AR 72015-3353 | 2020-10-09 |
| 1861019721 | Traci C Crump | Nurse Practitioner | 1 Medical Park Dr, Benton, AR 72015-3353 | 2020-06-26 |
| 1134767627 | Penny Kaye Bettis | Nurse Practitioner | 1 Medical Park Dr, Benton, AR 72015-3353 | 2019-12-15 |
| 1073031878 | Jennifer Faughn Neighbors | Nurse Practitioner | 1 Medical Park Dr, Benton, AR 72015-3353 | 2017-09-01 |
| 1376999607 | Sarah Elizabeth Reyna | Nurse Practitioner | 1 Medical Park Dr, Suite 200, Benton, AR 72015-3353 | 2016-05-05 |
| 1205236551 | Bobbie Leanna Reed | Nurse Practitioner | 1 Medical Park Dr, Benton, AR 72015-3353 | 2014-08-23 |
| 1154741502 | Lifecare Solutions LLC | Nurse Practitioner | 1312 Nivens Rd, Benton, MS 39039-9132 | 2014-04-24 |
| Find all providers in BENTON | ||||
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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.