ELIZABETH BENNETT (NPI# 1649446493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649446493 |
| Entity Type | Individual |
| Full Name | ELIZABETH BENNETT |
| Credential | PA |
| Practice Address |
4050 Dean Lakes Blvd Shakopee MN 55379-2714 |
| Mailing Address |
3532 Irving Ave S Uppr Minneapolis MN 55408-3324 |
| Practice Telephone | 2522926161 |
| Mailing Telephone | 2522926161 |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2012-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 11114 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
01310 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043792997 | Elizabeth Bennett | Counselor | 309 59th St Nw, Albuquerque, NM 87105 | 2018-09-06 |
| 1508359670 | Elizabeth Bennett | Counselor | 3384 Field Planters Rd, Johns Island, SC 29455-8235 | 2018-06-12 |
| 1932636594 | Elizabeth Ann Bennett | Counselor | 1106 Ohio River Blvd Ste 602, Sewickley, PA 15143-2048 | 2017-05-15 |
| 1538456447 | Elizabeth Bennett | Registered Nurse | 15720 Manor Way, C3, Lynnwood, WA 98087-6240 | 2011-06-30 |
| 1225295330 | Elizabeth Mullen Bennett | Family Medicine | 415 Everwood Ct Nw, Issaquah, WA 98027-2602 | 2008-05-19 |
| 1316126907 | Elizabeth J Bennett | Counselor | 2210 Menard St, 1r, Saint Louis, MO 63104-4178 | 2007-10-30 |
| 1821155987 | Elizabeth L. Bennett | Psychologist | 78 Middle St, Fairhaven, MA 02719-3050 | 2007-01-01 |
| 1710959234 | Elizabeth Ann Bennett | Family Medicine | 9159 Bloom Ct, Burke, VA 22015-1643 | 2006-02-07 |
| 1467453308 | Elizabeth H. Bennett | Nurse Practitioner | 10910 Little Patuxent Parkway, Suite 100, Columbia, MD 21044 | 2005-08-02 |
| 1578171591 | Elizabeth Frances Bennett | Speech-Language Pathologist | 111 W Anderson Ln Ste C100, Austin, TX 78752-1119 | 2020-07-15 |
| Street Address |
4050 DEAN LAKES BLVD |
| City | SHAKOPEE |
| State | MN |
| Zip Code | 55379-2714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073140562 | Emmanuel Odeng-otu | Pharmacist | 4050 Dean Lakes Blvd, Shakopee, MN 55379-2714 | 2020-03-24 |
| 1770119265 | Courtney Irenee Sannes | Pharmacist | 4050 Dean Lakes Blvd, Shakopee, MN 55379-2714 | 2020-03-17 |
| 1275168627 | Ann Krautkremer | Pharmacist | 4050 Dean Lakes Blvd, Shakopee, MN 55379-2714 | 2020-03-05 |
| 1598107237 | Jacquelyn Lee Denardo | Nurse Practitioner | 4050 Dean Lakes Blvd, Shakopee, MN 55379-2714 | 2013-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073123030 | True North Community Dental Clinic, LLC | Dentist | 415 East First Avenue, Shakopee, MN 55379 | 2020-08-05 |
| 1154988236 | Benedictine Living Community of Shakopee LLC | Assisted Living Facility | 1705 Windermere Way, Shakopee, MN 55379 | 2019-05-23 |
| 1346741394 | Expressions In Motion LLC | Speech-Language Pathologist | 1221 East 4th Ave., Shakopee, MN 55379 | 2018-02-26 |
| 1124529334 | A.m Dental Professionals P.a | Clinic/Center | 1036 1st Ave E, Shakopee, MN 55379 | 2018-02-22 |
| 1538522024 | Jesse Sylvester | Chiropractor | 1275 Ramsey Street South, #600, Shakopee, MN 55379 | 2016-04-01 |
| 1376903963 | Dakota Best Transportation LLC | Non-emergency Medical Transport (VAN) | 449 Dakota Street Apt 2, Shakopee, MN 55379 | 2016-02-25 |
| 1568856631 | Tatyana Mishkin Gleyzer | Nurse Practitioner | 1010 West Sixth Avenue, Shakopee, MN 55379 | 2015-03-26 |
| 1245634039 | Kalli Ledel | Pharmacist | 1198 Vierling Dr, Cub Pharmacy, Shakopee, MN 55379 | 2014-10-22 |
| 1487992913 | Jennifer Elizabeth Boyd | Nurse Practitioner | Pediatrics 1415 St Francis Ave, Park Nicollet Clinic-shakopee, Shakopee, MN 55379 | 2013-01-17 |
| 1013253798 | Acts Therapy LLC | Counselor | 8170 Old Carriage Court North, 215, Shakopee, MN 55379 | 2012-12-27 |
| Find all providers in zip 55379 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730439688 | Tamara K Baldwin | Physician Assistant | 4201 Dean Lakes Blvd, Shakopee, MN 55379-2829 | 2012-09-18 |
| 1982919718 | Kathryn Nicole Kuske | Physician Assistant | 1415 Saint Francis Ave, Shakopee, MN 55379-3374 | 2010-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255969150 | Isaac Waalen | Physician Assistant | 5420 Circle Down, Minneapolis, MN 55416-1312 | 2020-03-28 |
| 1730643701 | Christina Jones | Physician Assistant | 11850 Blackfoot St Nw Ste 270, Coon Rapids, MN 55433-2593 | 2019-01-24 |
| 1114492964 | Molly Goss | Physician Assistant | 1817 Sunset Dr, Northfield, MN 55057-3246 | 2018-10-09 |
| 1932600160 | Ellen Kathryn Freeman | Physician Assistant | 111 Hundertmark Rd Ste 480, Chaska, MN 55318-1485 | 2018-02-22 |
| 1174041875 | Kristen Webb | Physician Assistant | 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 | 2017-09-01 |
| 1073051751 | Hannah Elizabeth Rosenthal Danielson | Physician Assistant | 640 Jackson St # Ms 11102m, Saint Paul, MN 55101 | 2017-02-02 |
| 1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
| 1538545686 | Kathryn Jelle | Physician Assistant | 3931 Louisiana Ave S # 55426, St Louis Park, MN 55426-5000 | 2015-07-30 |
| 1831503267 | Karrah Oliver | Physician Assistant | 205 Roosevelt Ave W, Karlstad, MN 56732-4022 | 2014-06-13 |
| 1477981777 | Melissa Ferraz De Toledo | Physician Assistant | 9145 Springbrook Dr Nw Ste 300, Coon Rapids, MN 55433-5897 | 2013-10-23 |
| 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.