KELLEY LEIGH BENNETT (NPI# 1639419344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639419344 |
| Entity Type | Individual |
| Full Name | KELLEY LEIGH BENNETT |
| Credential | BA |
| Practice Address |
655 E Main St Peru IN 46970-2662 |
| Mailing Address |
1015 Michigan Ave Logansport IN 46947-1526 |
| Practice Telephone | 7654721931 |
| Practice Fax Number | 7654721945 |
| Mailing Telephone | 5747225151 |
| Mailing Fax Number | 5747391414 |
| Enumeration Date | 2013-02-18 |
| Last Update Date | 2013-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174068779 | Kelley Bennett | Marriage & Family Therapist | 867 N Fair Oaks Ave, Pasadena, CA 91103-3050 | 2017-01-05 |
| 1932267903 | Kelley Ann Bennett | Nurse Practitioner | 10110 Molecular Dr, Suite 206, Rockville, MD 20850-7539 | 2006-12-04 |
| Street Address |
655 E MAIN ST |
| City | PERU |
| State | IN |
| Zip Code | 46970-2662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366487621 | Kendall Toney | Psychologist | 655 E Main St, Peru, IN 46970-2662 | 2006-06-19 |
| 1013252741 | Shannon Louise Lees | Case Manager/Care Coordinator | 655 E Main St, Peru, IN 46970-2662 | 2012-12-06 |
| 1720339096 | Amanda Kay Broughton | Case Manager/Care Coordinator | 655 E Main St, Peru, IN 46970-2662 | 2012-09-27 |
| 1760744171 | Verdia Melissa Middleton | Counselor | 655 E Main St, Peru, IN 46970-2662 | 2012-06-12 |
| 1568735967 | Lisa Kay Sheridan | Counselor | 655 E Main St, Peru, IN 46970-2662 | 2012-02-15 |
| 1104100155 | Anthony Robert Halterman | Case Manager/Care Coordinator | 655 E Main St, Peru, IN 46970-2662 | 2011-10-07 |
| 1982999645 | Denise Renay Walter | Case Manager/Care Coordinator | 655 E Main St, Peru, IN 46970-2662 | 2011-06-10 |
| 1164714218 | Megan Renee Bullins | Case Manager/Care Coordinator | 655 E Main St, Peru, IN 46970-2662 | 2011-05-09 |
| 1588993638 | Angela Kay Musall | Case Manager/Care Coordinator | 655 E Main St, Peru, IN 46970-2662 | 2009-12-21 |
| 1659607091 | Lisa Marie Grace | Case Manager/Care Coordinator | 655 E Main St, Peru, IN 46970-2662 | 2009-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447896311 | Christina M Van Meter | Pharmacist | 930 W Main St., Peru, IN 46970 | 2019-11-26 |
| 1821554585 | Thomas Gilbert Reaves | Counselor | 5851 S. Us-31, Lot 47, Peru, IN 46970 | 2019-02-18 |
| 1104154863 | American Foot and Ankle Inc | Durable Medical Equipment & Medical Supplies | 632 West Main Street, Peru, IN 46970 | 2009-11-18 |
| 1629208251 | Rafik Farag | Family Medicine | 1694 W Logansport Rd., Community Health Center of Miami County, Peru, IN 46970 | 2009-07-16 |
| 1508076050 | Peggy L Wert | Occupational Therapy Assistant | 850 Matador Drive, Peru, IN 46970 | 2007-05-23 |
| 1972690634 | Sherif Elmasry | Pediatrics | 655 N Broadway, Peru, IN 46970 | 2006-10-06 |
| 1548357320 | Belinda Diane Stonger | Hearing Instrument Specialist | 1 S. Broadway, Peru, IN 46970 | 2006-10-05 |
| 1134214083 | American Health Network of Indiana, LLC | Durable Medical Equipment & Medical Supplies | 315 West Old Key Drive, Peru, IN 46970 | 2006-10-04 |
| 1710082409 | Thomas J Guthrie | Dentist | 5 West Logan Street, Peru, IN 46970 | 2006-09-14 |
| 1750921938 | Christina Russell | Counselor | 1000 N Broadway Ste A, Peru, IN 46970 | 2020-01-15 |
| Find all providers in zip 46970 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164907812 | Faith Ann Kingery | Case Manager/Care Coordinator | 1000 N Broadway, Peru, IN 46970-1070 | 2018-09-28 |
| 1235614975 | Crystal Selleck | Case Manager/Care Coordinator | 1000 N Broadway, Peru, IN 46970-1070 | 2018-09-28 |
| 1013252741 | Shannon Louise Lees | Case Manager/Care Coordinator | 655 E Main St, Peru, IN 46970-2662 | 2012-12-06 |
| 1720339096 | Amanda Kay Broughton | Case Manager/Care Coordinator | 655 E Main St, Peru, IN 46970-2662 | 2012-09-27 |
| 1104100155 | Anthony Robert Halterman | Case Manager/Care Coordinator | 655 E Main St, Peru, IN 46970-2662 | 2011-10-07 |
| 1982999645 | Denise Renay Walter | Case Manager/Care Coordinator | 655 E Main St, Peru, IN 46970-2662 | 2011-06-10 |
| 1164714218 | Megan Renee Bullins | Case Manager/Care Coordinator | 655 E Main St, Peru, IN 46970-2662 | 2011-05-09 |
| 1588993638 | Angela Kay Musall | Case Manager/Care Coordinator | 655 E Main St, Peru, IN 46970-2662 | 2009-12-21 |
| 1659607091 | Lisa Marie Grace | Case Manager/Care Coordinator | 655 E Main St, Peru, IN 46970-2662 | 2009-10-20 |
| 1356592604 | Sara E Eiler | Case Manager/Care Coordinator | 655 E Main St, Peru, IN 46970-2662 | 2008-10-06 |
| Find all providers in PERU | ||||
Please comment or provide details below to improve the information on KELLEY LEIGH 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.