JENNIFER BENTON (NPI# 1477758696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477758696 |
| Entity Type | Individual |
| Full Name | JENNIFER BENTON |
| Practice Address |
2800 Cleveland Ave N Roseville MN 55113-1126 |
| Mailing Address |
4709 2 Street Northeast Fridley MN 55421 |
| Practice Telephone | 6516421825 |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2012-01-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | R 165945-0 | MN | Nursing Service Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
20111983 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699399303 | Jennifer Benton | Peer Specialist | 11932 Town Park Cir, Eagle River, AK 99577-7788 | 2020-05-29 |
| 1164748638 | Jennifer Deann Benton | Nurse Practitioner | 900 Dennis Rd, Jacksonville, NC 28546-7287 | 2010-04-08 |
| 1629243142 | Jennifer Marie Benton | Physical Therapist | 6475 Christie Ave Ste 135, Emeryville, CA 94608 | 2008-04-25 |
| 1467932582 | Jennifer Anne Benton | Physical Therapist | 4452 Eastgate Blvd Ste 101, Cincinnati, OH 45245-1584 | 2018-08-17 |
| 1164763876 | Jennifer Louise Benton | Chiropractor | 3128 Poplar St, Terre Haute, IN 47803-2665 | 2013-03-05 |
| 1952525875 | Jennifer K Benton | Nurse Practitioner | 2797 Nc Highway 55, Cary, NC 27519 | 2007-04-12 |
| 1609927219 | Jennifer M. Benton | Psychologist | 4520 S Harvard Ave, Suite 200, Tulsa, OK 74135-2925 | 2007-01-12 |
| Street Address |
2800 CLEVELAND AVE N |
| City | ROSEVILLE |
| State | MN |
| Zip Code | 55113-1126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629141213 | Pediatric Home Respiratory Services LLC | Home Health | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2006-11-15 |
| 1386129211 | Briana Blackstad | Pharmacist | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2018-09-26 |
| 1699272823 | Alea Joy Chalmers | Dietitian, Registered | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2018-04-13 |
| 1518464742 | Kayla Emily Skog | Dietitian, Registered | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2018-04-13 |
| 1144722190 | Pediatric Home Respiratory Services LLC | Home Health | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2018-03-06 |
| 1316482649 | Sonja Mydels | Dietitian, Registered | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2016-12-22 |
| 1427488048 | Lana Kalleen Clark | Dietitian, Registered | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2013-11-18 |
| 1205197936 | Karah Lin Pendergrass | Licensed Practical Nurse | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2012-05-29 |
| 1740540475 | Katherine Louise Peper | Student in an Organized Health Care Education/Training Program | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2012-05-29 |
| 1205110749 | Mari Brown | Registered Nurse | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2011-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396384376 | Zachary Mattson | Physician Assistant | Regus Coworking Space 2355 Highway 36 West, Suite 400, Office #427, Roseville, MN 55113 | 2019-12-23 |
| 1467010330 | Ahmed Issa | Student in an Organized Health Care Education/Training Program | 1550 Larpenteur Ave W, Apt 235, St Paul, MN 55113 | 2019-06-05 |
| 1821653833 | Suite Living Senior Care of Little Canada | Assisted Living Facility | 2740 Rice Street, Little Canada, MN 55113 | 2019-05-06 |
| 1902370505 | Diverse Assessments and Treatment, LLC | Psychologist | 1935 Cty Rd B2 W Ste 270, Roseville, MN 55113 | 2019-01-16 |
| 1588138473 | Applewood Home Health Care, LLC | Home Health | 2021 E Hennepin Avenue # 402-1, Minneapolis, MN 55113 | 2019-01-14 |
| 1699251520 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2685 Patton Rd, Roseville, MN 55113 | 2018-07-13 |
| 1083104145 | Suite Living Senior Care of Roseville | Assisted Living Facility | 197 County Road B2 W, Roseville, MN 55113 | 2018-05-15 |
| 1477055796 | Sunrise Residential Services LLC | Home Health | 216 Maple Ln, Roseville, MN 55113 | 2018-03-02 |
| 1194223024 | Alissa Hoff | Specialist | 1595 Mn 36 - 584 10 Rosedale Center, Roseville, MN 55113 | 2018-01-25 |
| 1841705118 | Kingsland Care Services Incorporated | Case Management | 2301 Rice Street, Suite 101, Roseville, MN 55113 | 2017-12-08 |
| Find all providers in zip 55113 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174902829 | Lindsay Bodene | Nurse Practitioner | 1465 W Colonial Pkwy, Roseville, CA 95661-5037 | 2015-05-28 |
| 1245625664 | Catherine Mary Carlson | Nurse Practitioner | 1935 County Road B2 W, Suite 100, Roseville, MN 55113-2729 | 2015-04-02 |
| 1144592643 | Alexandria Johnson | Nurse Practitioner | 508 Gibson Dr, Suite 220, Roseville, CA 95678-5794 | 2012-01-31 |
| 1053565283 | Donna R. Chipps | Nurse Practitioner | 1451 Secret Ravine Pkwy, Suite 150, Roseville, CA 95661-6052 | 2008-11-14 |
| 1376604421 | Linda Lael Mchugh | Nurse Practitioner | 1840 Sierra Gardens Drive, Roseville, CA 95661 | 2006-12-13 |
| 1275693038 | Marilynne Dee Crawford | Nurse Practitioner | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2006-12-11 |
| 1003904418 | Pantea Nosrat Dunn | Nurse Practitioner | 1528 Eureka Rd, Suite 102, Roseville, CA 95661-3047 | 2006-10-11 |
| 1700862679 | Rosalie Kelley | Nurse Practitioner | 167 S Main St, Roseville, OH 43777-1284 | 2005-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518587120 | Amanda Joy Dominik | Nurse Practitioner | 4411 Arden View Ct, Arden Hills, MN 55112-1944 | 2020-04-23 |
| 1881245504 | Hailey Prescott | Nurse Practitioner | 2450 Riverside Avenue Se, Minneapolis, Mn, MN 55454-1400 | 2019-09-24 |
| 1598317570 | Elisabeth Palmquist | Nurse Practitioner | 12000 Elm Creek Blvd N Ste 250, Maple Grove, MN 55369-7164 | 2019-07-10 |
| 1538644562 | Angela Ashton | Nurse Practitioner | 345 Smith Ave N Ste 404, Saint Paul, MN 55102-2346 | 2018-09-25 |
| 1558865295 | Meghan Kerry Deyo | Nurse Practitioner | 1804 7th St W Ste 200, Saint Paul, MN 55116-2300 | 2018-03-19 |
| 1336642131 | Caitlin Anna Lingbeck | Nurse Practitioner | 14001 Ridgedale Dr #100, Minnetonka, MN 55305-1781 | 2018-03-18 |
| 1740799246 | Maya Bastian | Nurse Practitioner | 12220 Travois Rd, Eden Prairie, MN 55347-4241 | 2017-09-27 |
| 1821523028 | Robin Marie Parker | Nurse Practitioner | 14135 Cedar Avenue South, Suite 100, Apple Valley, MN 55124 | 2017-04-25 |
| 1538691043 | Jenifer Flegel | Nurse Practitioner | 963 Robert St S, West Saint Paul, MN 55118-1446 | 2017-04-03 |
| 1154796811 | Megan Stark | Nurse Practitioner | 2805 Campus Dr Ste 235, Plymouth, MN 55441-2678 | 2015-12-07 |
| 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.