JEAN LAZENBY BENTON (NPI# 1467458588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467458588 |
| Entity Type | Individual |
| Full Name | JEAN LAZENBY BENTON |
| Other Name | BEATRICE LAZENBY DENTON |
| Credential | FNP-C |
| Practice Address |
111 E Third Ave Gastonia NC 28052-4343 |
| Mailing Address |
200 E 2nd Ave Gastonia NC 28052-4358 |
| Practice Telephone | 7048743300 |
| Practice Fax Number | 7048740065 |
| Mailing Telephone | 7048741904 |
| Mailing Fax Number | 7048672134 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2019-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 200956 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7000985 | 05 |
| Street Address |
111 E THIRD AVE |
| City | GASTONIA |
| State | NC |
| Zip Code | 28052-4343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346528734 | Thuy T Ho | Physician Assistant | 111 E Third Ave, Gastonia, NC 28052-4343 | 2011-08-02 |
| 1457522252 | Amy Parr Shortridge | Nurse Practitioner | 111 E Third Ave, Gastonia, NC 28052-4343 | 2008-03-19 |
| 1245350305 | Tammy S. Palumbo | Dietitian, Registered | 111 E Third Ave, Gastonia, NC 28052-4343 | 2007-03-30 |
| 1932152121 | Shana Danette James-nzambele | Family Medicine | 111 E Third Ave, Gastonia, NC 28052-4343 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053859488 | Aa Plus Family Care Services, LLC | Custodial Care Facility | 190- B South Street, Gastonia, NC 28052 | 2017-02-06 |
| 1487028098 | Stefanie Mann | Counselor | 165 West Franklin Blvd., Gastonia, NC 28052 | 2015-11-19 |
| 1659771343 | Latisha Marsh | Pharmacist | 233 North Myrtle School, Gastonia, NC 28052 | 2014-08-29 |
| 1730598616 | Erin Flitt | Nurse Practitioner | 425 North Marietta Street, Gastoni, NC 28052 | 2014-08-05 |
| 1568877199 | Ebony Kyerra Kennedy | Pharmacist | 2206 West Franklin Blvd, Gastonia, NC 28052 | 2014-06-23 |
| 1821364209 | Harcharan Singh | Ophthalmology | 111 E.third Avenue, Gaston Family Medical Center, Gastonia, NC 28052 | 2012-03-29 |
| 1437475365 | Evelyn B Mcgill | Counselor | 102 N Yates Street, Gastonia, NC 28052 | 2010-04-16 |
| 1568696680 | Fafli Inc | Community/Behavioral Health | 175 W. Main Avenue, Gaston County, NC 28052 | 2009-05-04 |
| 1558570630 | Peggy May Currie | Physical Therapist | 710 Marietta St., Suite B, Gastonia, NC 28052 | 2007-05-22 |
| 1275753352 | John Theodore Fox | Dentist | 601 S York St, Gastonia, NC 28052 | 2007-04-30 |
| Find all providers in zip 28052 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538489414 | Ladeana Walker Gambill | Nurse Practitioner | 1530a Union Road, Gastonia, NC 28054-2201 | 2010-06-02 |
| 1497811079 | Lucianne Cronin | Nurse Practitioner | 1006 Union Rd Ste D, Gastonia, NC 28054-5591 | 2006-12-28 |
| 1902829203 | Cheryl Baxter | Nurse Practitioner | 3320 Robinwood Rd, Ste 100, Gastonia, NC 28054-6689 | 2006-07-26 |
| 1043253776 | Jeanann Vawter | Nurse Practitioner | 924 Cox Road, Gastonia, NC 28054 | 2006-06-13 |
| 1205891843 | Christine L Burns | Nurse Practitioner | 527 S New Hope Rd, Gastonia, NC 28054-4040 | 2006-04-18 |
| 1225036510 | Victoria M Caudill | Nurse Practitioner | 1875 Remount Rd, Gastonia, NC 28054-7413 | 2005-07-11 |
| 1437708310 | Krystin B Hepburn | Nurse Practitioner | 2711 X Ray Dr Ste 3701, Gastonia, NC 28054-7491 | 2019-09-04 |
| 1376000570 | Wanda Lizette Carrington | Nurse Practitioner | 1089 X Ray Dr, Gastonia, NC 28054-7489 | 2019-02-23 |
| 1316403561 | Krystal Marie Gessert-herring | Nurse Practitioner | 2391 Court Dr Ste 110, Gastonia, NC 28054-2197 | 2019-02-13 |
| 1366915985 | Amanda Nicole Collins | Nurse Practitioner | 2525 Court Dr, Gastonia, NC 28054-2140 | 2019-01-07 |
| Find all providers in GASTONIA | ||||
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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.