KATHRYN LISA BENNETT (NPI# 1629345798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629345798 |
| Entity Type | Individual |
| Full Name | KATHRYN LISA BENNETT |
| Credential | RN, NNP-BC |
| Practice Address |
101 W Ponce De Leon Ave #242 Decatur GA 30030-2542 |
| Practice Telephone | 4047787622 |
| Practice Fax Number | 4047787690 |
| Mailing Telephone | 4047787622 |
| Mailing Fax Number | 4047787690 |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2018-10-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
RN150257 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
RN150257 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356775670 | Kathryn Celeste Bennett | Nurse Practitioner | 1500 East Medical Center Dr, 3rd Floor Cardiovascular Center Recp C, Ann Arbor, MI 48109 | 2013-08-22 |
| 1164710836 | Kathryn Emma Bennett | Anesthesiology | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2011-07-15 |
| 1598963464 | Kathryn Bennett | Physical Therapist | 611 Saint Joseph Ave, Rehab Services 1n, Marshfield, WI 54449-1832 | 2007-07-03 |
| 1831184761 | Kathryn Marie Bennett | Chiropractor | 322 S Main St, Emporia, VA 23847-2028 | 2005-09-16 |
| Street Address |
101 W PONCE DE LEON AVE #242 |
| City | DECATUR |
| State | GA |
| Zip Code | 30030-2542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366516304 | James Mitchell Hughes | Internal Medicine | 101 W Ponce De Leon Ave, Suite 300, Decatur, GA 30030-2528 | 2006-11-20 |
| 1811329204 | Sharon Christina Benton | Nurse Practitioner | 101 W Ponce De Leon Ave, #242, Decatur, GA 30030-2542 | 2013-08-07 |
| 1013251859 | Tammy Vardeman Aguilar | Nurse Practitioner | 101 W Ponce De Leon Ave, Suite #242, Decatur, GA 30030-2542 | 2012-11-17 |
| 1740547033 | The Emory Clinic | Preferred Provider Organization | 101 W Ponce De Leon Ave, Decatur, GA 30030-2542 | 2012-04-12 |
| 1306112511 | Erika Phindile Chowa | Emergency Medicine | 101 W Ponce De Leon Ave, Annex Building, Decatur, GA 30030-2542 | 2012-04-02 |
| 1831492438 | Hallie Turkish Brinn | Nurse Practitioner | 101 W Ponce De Leon Ave, Decatur, GA 30030-2542 | 2010-12-21 |
| 1851606487 | Jessica Ross | Nurse Practitioner | 101 W Ponce De Leon Ave, Suite 242, Decatur, GA 30030-2542 | 2010-08-06 |
| 1720285653 | The Emory Clinic Pediatric Providers | Anesthesiology | 101 W Ponce De Leon Ave, Ste 300, Decatur, GA 30030-2528 | 2007-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
| 1417587478 | Elizabeth Heffron | Acupuncturist | 619b East College Avenue, Decatur, GA 30030 | 2020-01-17 |
| 1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
| 1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
| 1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
| 1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
| 1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
| 1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
| 1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
| 1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
| Find all providers in zip 30030 | ||||
| Taxonomy Code | 363LN0005X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639534753 | Dee Bowbliss | Nurse Practitioner | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2015-12-16 |
| 1831492438 | Hallie Turkish Brinn | Nurse Practitioner | 101 W Ponce De Leon Ave, Decatur, GA 30030-2542 | 2010-12-21 |
| 1851606487 | Jessica Ross | Nurse Practitioner | 101 W Ponce De Leon Ave, Suite 242, Decatur, GA 30030-2542 | 2010-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902357866 | Carla Zimmerly | Nurse Practitioner | 1711 Tullie Circle, Atlanta, GA 30329 | 2016-10-17 |
| 1851709844 | Scott Anthony Sides | Nurse Practitioner | 88 Hardy St, Chatsworth, GA 30705-3231 | 2014-07-23 |
| 1659641058 | Christy Marie Gardner | Nurse Practitioner | 1120 15th St # 6033, Augusta, GA 30912-0004 | 2012-01-03 |
| 1578527479 | Rebecca Lynn Turner | Nurse Practitioner | Children's Hospital Navicent Health, 777 Hemlock Street, Macon, GA 31201 | 2006-04-17 |
| 1932721461 | Ashley Murry | Nurse Practitioner | 1711 Tullie Cir Ne, Atlanta, GA 30329-2305 | 2020-05-06 |
| 1881227940 | Ingried Albisu | Nurse Practitioner | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2020-02-18 |
| 1407400427 | Rachel Mae Perlman | Nurse Practitioner | 1584 Tullie Cir Ne, Atlanta, GA 30329-2311 | 2019-07-29 |
| 1730660093 | Virginia Tittle Kee | Nurse Practitioner | 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 | 2018-08-24 |
| 1669968137 | Cheri Denise Robison | Nurse Practitioner | 777 Hemlock St, Macon, GA 31201-2102 | 2018-07-07 |
| 1669962684 | Hilary Antley Jones | Nurse Practitioner | 1711 Tullie Cir Ne, Atlanta, GA 30329-2305 | 2018-05-15 |
| 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.