LISA ANNE BENNETT (NPI# 1639688112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639688112 |
| Entity Type | Individual |
| Full Name | LISA ANNE BENNETT |
| Practice Address |
721 K St Lincoln NE 68508-2949 |
| Practice Telephone | (402) 477-3951 |
| Practice Fax Number | 4024773922 |
| Mailing Telephone | 4024773951 |
| Mailing Fax Number | 4024773922 |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2017-09-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508403312 | Lisa Bennett | Counselor | 692 Blake Ave, Brooklyn, NY 11207-4875 | 2019-11-30 |
| 1568932200 | Lisa M Bennett | Occupational Therapy Assistant | 322 Kraft St, Neenah, WI 54956-4986 | 2018-11-26 |
| 1134514300 | Lisa Marie Bennett | Nurse Practitioner | 1655 Harrington Park Dr, Jacksonville, FL 32225-4938 | 2015-04-03 |
| 1346523909 | Lisa Ann Bennett | Social Worker | 68 Waterman Ave, Albany, NY 12205-3621 | 2011-09-21 |
| 1457577785 | Lisa Cohen Bennett | Psychologist | 919 Village Center Drive Suite #2, Lafayette, CA 94549 | 2007-04-17 |
| 1619010303 | Lisa Bennett | Chiropractor | 7720 W Sahara Ave Ste 104, Las Vegas, NV 89117-2754 | 2007-02-14 |
| 1790706349 | Lisa Bennett | Specialist/Technologist | 1201 39th St, Washougal, WA 98671-9112 | 2006-07-21 |
| 1285678722 | Lisa Marlene Bennett | Optometrist | 11500 Midlothian Tpke, Adjacent To Jc Penney, North Chesterfield, VA 23235-4780 | 2006-06-15 |
| 1760477947 | Lisa G Bennett | Nurse Practitioner | 1602 Harper Rd, Beckley, WV 25801-3310 | 2005-09-14 |
| 1770135501 | Lisa Lynn Bennett | Case Manager/Care Coordinator | 1320 N Morrison Blvd, Hammond, LA 70401-2242 | 2019-07-11 |
| Street Address |
721 K ST |
| City | LINCOLN |
| State | NE |
| Zip Code | 68508-2949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114090354 | Amber D Perez | Counselor | 721 K St, The Bridge At Cornhusker Place, Lincoln, NE 68508-2949 | 2006-11-16 |
| 1518525245 | Brittanie Irene Scarbrough | Substance Abuse Rehabilitation Facility | 721 K St, Lincoln, NE 68508-2949 | 2019-05-29 |
| 1730660358 | Rachel Jeanette Redlightning | Substance Abuse Rehabilitation Facility | 721 K St, Lincoln, NE 68508-2949 | 2018-08-22 |
| 1245727031 | Mary Lynette Rittenburg | Substance Abuse Rehabilitation Facility | 721 K St, Lincoln, NE 68508-2949 | 2018-04-17 |
| 1376063875 | Sheena Elizabeth Aesoph | Counselor | 721 K St, Lincoln, NE 68508-2949 | 2017-06-26 |
| 1457881708 | Danielle Antonia Winters | Registered Nurse | 721 K St, Lincoln, NE 68508-2949 | 2017-06-19 |
| 1205363553 | Angela Marie Hughes | Licensed Practical Nurse | 721 K St, Lincoln, NE 68508-2949 | 2017-05-17 |
| 1902333248 | Mazhar Sultana Kahn | Registered Nurse | 721 K St, Lincoln, NE 68508-2949 | 2017-05-17 |
| 1821536053 | Brenda Gilmore | Substance Abuse Rehabilitation Facility | 721 K St, Lincoln, NE 68508-2949 | 2017-02-08 |
| 1184162323 | Jessica Allen | Substance Abuse Rehabilitation Facility | 721 K St, Lincoln, NE 68508-2949 | 2017-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952941148 | Jacob Johnson | Counselor | 815 K Street, Lincoln, NE 68508 | 2020-01-15 |
| 1518364348 | Jairrion Raino | Social Worker | 1000 South 13th Street, Lincoln, NE 68508 | 2014-11-21 |
| 1518204536 | Robert Scott Fox | Clinic/Center | 110 Q St., Lincoln, NE 68508 | 2013-01-10 |
| 1033418355 | Kimberly Marie Widicker-densberger | Social Worker | 1005 O Street, Suite 300, Lincoln, NE 68508 | 2011-03-25 |
| 1578797064 | Amber N Waddell | Substance Abuse Rehabilitation Facility | 721 J St, Lincoln, NE 68508 | 2009-05-12 |
| 1396803490 | Bright Smile Dental | Dentist | 140 So 16th Street, Lincoln, NE 68508 | 2006-12-04 |
| 1265086698 | Mindful Counseling and Wellness, LLC | Clinic/Center | 421 S 9th St Ste 126, Lincoln, NE 68508 | 2019-07-24 |
| 1366933624 | Leslie Delong, Phd, P.C. | Psychologist | 650 J St Ste 201, Lincoln, NE 68508 | 2018-05-22 |
| 1285153734 | Sara Qadi | Dentist | 4000 E Campus Loop, Lincoln, NE 68508 | 2017-09-15 |
| 1477070415 | Denise J Barrow | Counselor | 815 K St, Lincoln, NE 68508 | 2017-08-29 |
| Find all providers in zip 68508 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942782990 | Jennifer Anderson | Peer Specialist | 2615 O St Ste 4, Lincoln, NE 68510-1385 | 2018-09-05 |
| 1679108237 | Jae Job | Peer Specialist | 120 Wedgewood Dr, Lincoln, NE 68510-2431 | 2020-03-04 |
| 1972148948 | Scott Loder | Peer Specialist | 801 W Prospector Pl, Lincoln, NE 68522-1970 | 2019-11-13 |
| 1407349491 | Laren Kilmer | Peer Specialist | 2301 O St, Lincoln, NE 68510-1124 | 2018-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144854415 | Brittany James | Peer Specialist | 1905 Avenue K, Scottsbluff, NE 69361-2265 | 2020-02-26 |
| 1023657723 | Lisa Guel | Peer Specialist | 2350 Five Rocks Rd, Gering, NE 69341-6401 | 2019-12-27 |
| 1558867903 | Sober Coaching, LLC | Peer Specialist | 444 N 76th St, Omaha, NE 68114-3154 | 2018-04-04 |
| 1982121919 | Lakeisha Marie Phelps | Peer Specialist | 3568 Dodge St, Omaha, NE 68131 | 2017-08-30 |
| 1851908453 | Krystal Mae Wright | Peer Specialist | 4111 4th Ave Ste 2, Kearney, NE 68845-2883 | 2020-09-28 |
| 1669088993 | Bianca Y. Garcia | Peer Specialist | 3568 Dodge St Ste 2, Omaha, NE 68131-3222 | 2020-09-22 |
| 1083220305 | Alise J. Baker | Peer Specialist | 3568 Dodge St Ste 2, Omaha, NE 68131-3222 | 2020-09-22 |
| 1427664754 | Karen M Garrett | Peer Specialist | 3568 Dodge St Ste 2, Omaha, NE 68131-3222 | 2020-09-22 |
| 1801401146 | Sarah Harlow | Peer Specialist | 910 W Park Ave, Norfolk, NE 68701-5044 | 2020-09-14 |
| 1124631098 | Juan Cruz | Peer Specialist | 11550 I St Ste 100, Omaha, NE 68137-1222 | 2020-08-28 |
| 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.