ROBERTA LEE BENTLEY (NPI# 1477011336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477011336 |
| Entity Type | Individual |
| Full Name | ROBERTA LEE BENTLEY |
| Credential | LPN |
| Practice Address |
5120 Leora Ln Jackson MI 49201-8912 |
| Practice Telephone | 5177504231 |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2019-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 4703094576 | MI | Nursing Service Providers |
| Street Address |
5120 LEORA LN |
| City | JACKSON |
| State | MI |
| Zip Code | 49201-8912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174137863 | Sally Ann Shaw | Behavior Technician | 3699 Miles Rd., Jackson, MI 49201 | 2020-09-01 |
| 1780293043 | Alyn Kristin Kay | Technician | Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 | 2020-07-23 |
| 1841827946 | Maverick Jubane | Student in an Organized Health Care Education/Training Program | Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 | 2020-03-26 |
| 1306486584 | Cody Williams | Technician, Other | 1001 Laurence Avenue St E, Jackson, MI 49201 | 2020-01-15 |
| 1720632292 | Krystie Lynn Adorjan | Speech-Language Pathologist | 1175 W Parnall Rd, Jackson, MI 49201 | 2019-08-01 |
| 1407412653 | Howard Franklin Tanner II | Speech-Language Pathologist | 102 East Michigan Avenue, Jackson, MI 49201 | 2019-05-14 |
| 1356863740 | Rima Zarar Qayyum | Speech-Language Pathologist | 4800 Firethorn Dr., Jackson, MI 49201 | 2017-07-07 |
| 1306384383 | Briana Nesmith | Speech-Language Pathologist | 2025 Ann Arbor Road, Jackson, MI 49201 | 2017-02-09 |
| 1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
| 1306212881 | Aisha Henderson | Social Worker | 729 West Michigan Avenue, Jackson, MI 49201 | 2015-08-19 |
| Find all providers in zip 49201 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386272375 | Meagan Mary Deane | Licensed Practical Nurse | 1311 Winston Dr, Jackson, MI 49203-5026 | 2020-03-27 |
| 1952953390 | Kristin Marie Mees | Licensed Practical Nurse | 702 W Ganson St, Jackson, MI 49201-1047 | 2019-07-16 |
| 1033608385 | Suzann Swetland | Licensed Practical Nurse | 510 Gregory Pl, Jackson, MI 49202-2608 | 2018-05-02 |
| 1285122309 | Angela Holt | Licensed Practical Nurse | 913 Seymour Ave, Jackson, MI 49202-2543 | 2018-04-24 |
| 1093211377 | Sheldon Ewers | Licensed Practical Nurse | 5052 Marble St, Jackson, MI 49201-8146 | 2018-04-04 |
| 1508377383 | Coleman Care Givers LLC | Licensed Practical Nurse | 706 Hillmont Dr, Jackson, MS 39209-6003 | 2017-10-19 |
| 1609326263 | Regina Mcdaniel | Licensed Practical Nurse | 502 Mccarty Ln, Unit 5, Jackson, OH 45640-7020 | 2016-10-07 |
| 1023564366 | Rebecca Ashenfelter | Licensed Practical Nurse | 4715 Fox Valley Dr., 1a, Jackson, MI 49204 | 2016-08-28 |
| 1144673146 | Merrie Loar | Licensed Practical Nurse | 1410 Sherman Wood Dr, Jackson, MI 49201-8129 | 2016-07-14 |
| 1407205479 | Fraser Raymond Worth | Licensed Practical Nurse | 4222 Wellington, Jackson, MI 49201-7182 | 2016-06-09 |
| Find all providers in JACKSON | ||||
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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.