MS. ANNETTE D BENNETT (NPI# 1518102698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518102698 |
| Entity Type | Individual |
| Full Name | MS. ANNETTE D BENNETT |
| Credential | PA-C |
| Practice Address |
1061 E Main St Ste 204 Grass Valley CA 95945-5724 |
| Practice Telephone | 5302742274 |
| Practice Fax Number | 5302742559 |
| Mailing Telephone | 5302742274 |
| Mailing Fax Number | 5302742559 |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2008-12-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA11955 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083245617 | Annette Marie Bennett | Chiropractor | 3322 Francis St, Jackson, MI 49203-5051 | 2020-02-02 |
| 1619518776 | Annette Bennett | Developmental Therapist | 4421 Lindenwood Dr, Matteson, IL 60443-1840 | 2019-09-30 |
| Street Address |
1061 E MAIN ST STE 204 |
| City | GRASS VALLEY |
| State | CA |
| Zip Code | 95945-5724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619950714 | Rene' C. Kronland Md, Inc | Legal Medicine | 1061 E Main St, Suite 201, Grass Valley, CA 95945-5724 | 2005-11-22 |
| 1639591415 | Michelle Kucera, Dds, Inc. | Dentist | 1061 E Main St, Ste 101, Grass Valley, CA 95945-5724 | 2014-01-13 |
| 1255573168 | Victoria M Gorney Tutak | Chiropractor | 1061 E Main St, Suite 102, Grass Valley, CA 95945-5724 | 2009-03-24 |
| 1235393638 | Christopher Mark Hanson | Dentist | 1061 E Main St, Suite 3, Grass Valley, CA 95945-5724 | 2008-07-15 |
| 1013101096 | Robert P Giuliani | Dentist | 1061 E Main St, Suite 202, Grass Valley, CA 95945-5724 | 2007-08-31 |
| 1376735357 | George O. Rice M.d., Inc. | Family Medicine | 1061 E Main St, Suite 201, Grass Valley, CA 95945-5724 | 2007-08-14 |
| 1306057989 | Rene Cathleen Kronland | Family Medicine | 1061 E Main St, Suite 201, Grass Valley, CA 95945-5724 | 2007-05-24 |
| 1376612622 | Michelle Kucera | Dentist | 1061 E Main St, Ste 101, Grass Valley, CA 95945-5724 | 2006-11-08 |
| 1588755821 | William H Davis | Surgery | 1061 E Main St, Suite 204, Grass Valley, CA 95945-5724 | 2006-09-28 |
| 1417994260 | Terry Ross Horlick | Dentist | 1061 E Main St, Grass Valley, CA 95945-5724 | 2006-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568028595 | Rae Meyer Bastoni | Chiropractor | 124 Clydesdale Ct, Ste. K, Grass Valley, CA 95945 | 2019-05-15 |
| 1255815221 | Victoria M Goddard | Counselor | 900 East Main St Suite 201, Grass Valley, CA 95945 | 2018-09-17 |
| 1912488503 | Janell Dawn Jones | Pharmacist | 10106 East Dr, Grass Valley, CA 95945 | 2018-08-22 |
| 1184114779 | Evan Ariel Walters | Physical Therapist | 104 Magaret Lane, Grass Valley, CA 95945 | 2018-05-18 |
| 1295199420 | Allyssa Fennelly Skowyra | Chiropractor | 155 Spring Hill Dr Ste 201, Grass Valley, CA 95945 | 2016-04-13 |
| 1326417627 | Nevada County Crisis Stabilization Unit | Clinic/Center | 145 Glasson Way, Grass Valley, CA 95945 | 2015-09-17 |
| 1942607957 | California Mental Health | Counselor | 120 N. Auburn Street, Ste 212, Grass Valley, CA 95945 | 2014-11-20 |
| 1740611615 | Jarrett M Weiss | Residential Treatment Facility, Emotionally Disturbed Children | 714 W. Main Street, Grass Valley, CA 95945 | 2013-12-03 |
| 1669802732 | Nicole Marie Sullivan | Residential Treatment Facility, Emotionally Disturbed Children | 714 W Main Street, Grass Valley, CA 95945 | 2013-11-26 |
| 1316377369 | Michelene Arielle-nicole Stringer | Residential Treatment Facility, Emotionally Disturbed Children | 714 West Main Street, Grass Valley, CA 95945 | 2013-11-12 |
| Find all providers in zip 95945 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356712228 | Kirsten George | Physician Assistant | 844 Old Tunnel Rd, Grass Valley, CA 95945-8524 | 2015-10-16 |
| 1982964417 | Katherine L. Bialka | Physician Assistant | 280 Sierra College Dr Ste 205, Grass Valley, CA 95945-5763 | 2012-05-17 |
| 1114252822 | Gabriel Ramirez | Physician Assistant | 180 Sierra College Dr, Grass Valley, CA 95945-5768 | 2009-10-14 |
| 1124276142 | Cindy Marie Mcmahon | Physician Assistant | 300 Sierra College Dr, Grass Valley, CA 95945-5082 | 2008-09-03 |
| 1811034465 | Doris Whittlesey | Physician Assistant | 280 Sierra College Dr Ste 205, Grass Valley, CA 95945-5763 | 2007-01-31 |
| 1831291186 | Trudy Crough | Physician Assistant | 2090 Nevada City Hwy, Grass Valley, CA 95945 | 2006-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089437 | Karine Harutyunyan | Physician Assistant | 500 E Colorado St Ste 101, Glendale, CA 91205-1607 | 2020-10-06 |
| 1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
| 1548867666 | Heba Marzouk Al-shoubaki | Physician Assistant | 633 S Pepper St, Anaheim, CA 92802-1459 | 2020-10-01 |
| 1275140550 | Lisa Lynn Passalacqua | Physician Assistant | 431 7th St, Norco, CA 92860-1671 | 2020-09-30 |
| 1144833989 | Trisha Taylor | Physician Assistant | 10399 Tivoli Way, Yucaipa, CA 92399-6017 | 2020-08-30 |
| 1457963944 | Harlan William Monahan | Physician Assistant | 5210 Del Rio Rd, Sacramento, CA 95822-2519 | 2020-08-18 |
| 1275144313 | Sofia Carmen Bustillo | Physician Assistant | 1709 Coral Pl, Seal Beach, CA 90740-5712 | 2020-08-12 |
| 1124638663 | Gayaneh Gharakhani | Physician Assistant | 1323 E Broadway Apt 110, Glendale, CA 91205-4018 | 2020-08-07 |
| 1144830183 | Loc Bao Tran | Physician Assistant | 8937 Emerson Pl, Rosemead, CA 91770-2813 | 2020-08-04 |
| 1558997957 | Sarah Lubinsky | Physician Assistant | 1511 Montana Ave, Santa Monica, CA 90403-1891 | 2020-03-17 |
| Find all providers with the same taxonomy | ||||
| City | GRASS VALLEY |
| Zip Code | 95945 |
Please comment or provide details below to improve the information on MS. ANNETTE D BENNETT.
| 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.