MICHELLE BENNETT (NPI# 1649715145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649715145 |
| Entity Type | Individual |
| Full Name | MICHELLE BENNETT |
| Credential | LMT#8540,CNMT |
| Practice Address |
6303 Indian School Rd Ne Suite 102b Albuquerque NM 87110-5328 |
| Mailing Address |
4610 Eubank Blvd Ne Apt 103 Albuquerque NM 87111-2553 |
| Practice Telephone | 5055821176 |
| Mailing Telephone | 5052067180 |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2016-12-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 8540 | NM | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932409836 | Michelle Denise Bennett | Registered Nurse | 70 Catherine Ct, Lynchburg, VA 24501-7075 | 2010-10-25 |
| 1194988006 | Michelle Simone Bennett | Nurse's Aide | 6697 Pine Valley Trce, Stone Mountain, GA 30087-5819 | 2008-07-10 |
| 1598726507 | Michelle Lynn Bennett | Pediatrics | 17742 Beach Blvd., Suite 240, Huntington Beach, CA 92647 | 2006-03-29 |
| 1033185756 | Michelle L Bennett | Pediatrics | 1115 Clifton Ave Ste 101, Clifton, NJ 07013-3649 | 2006-02-23 |
| 1902403405 | Michelle Bennett | Pharmacist | 621 S Main St, Du Bois, PA 15801-1413 | 2020-10-07 |
| 1588207120 | Michelle Bennett | Physician Assistant | 2601 S Kanner Hwy, Stuart, FL 34994-4622 | 2019-10-28 |
| 1902457013 | Michelle Bennett | Technician | 10443 Riverdale Rise Dr, Riverview, FL 33578-4065 | 2019-09-20 |
| 1467989079 | Michelle Bennett | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave, Ob/gyn Department, Brooklyn, NY 11203-2012 | 2017-05-12 |
| 1205385879 | Michelle Marie Bennett | Massage Therapist | 3689 Carman Dr Ste 300, Lake Oswego, OR 97035-2620 | 2016-09-23 |
| 1831588615 | Michelle L. Bennett | Pharmacist | 2200 Tydd St, Eureka, CA 95501-1284 | 2015-01-15 |
| Street Address |
6303 INDIAN SCHOOL RD NE SUITE 102B |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87110-5328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275730434 | Robert Douglas Zettervall | Social Worker | 6303 Indian School Rd Ne, Apartment #307, Albuquerque, NM 87110-5328 | 2007-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
| 1649829318 | Robert D. Oliver | Technician | 2705 Texas Street Ne, Albuquerque, NM 87110 | 2019-09-05 |
| 1033770904 | Life Re-created LLC | Counselor | 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 | 2019-06-21 |
| 1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
| 1790257558 | Diana M Nicolas | Dietitian, Registered | 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 | 2018-12-18 |
| 1689168403 | Robin N Hermes, Md, PC | Anesthesiology | 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 | 2018-06-15 |
| 1710481726 | Desert Mountain Eyecare LLC | Optometrist | 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 | 2018-03-23 |
| 1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
| 1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
| 1265957237 | Myrrhine Faller | Speech-Language Pathologist | 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 | 2017-08-10 |
| Find all providers in zip 87110 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396369997 | Darla Rae Shrock | Massage Therapist | 8821 Golf Course Rd Nw, Albuquerque, NM 87114-5726 | 2020-05-31 |
| 1669000592 | Eric Revels | Massage Therapist | University of New Mexico Msco6 3870, Albuquerque, NM 87131-0001 | 2020-03-27 |
| 1629615950 | Kristen Leblanc | Massage Therapist | 2508 Garfield Ave Se Ste B3, Albuquerque, NM 87106-3697 | 2019-12-05 |
| 1851936280 | Caroline Meyers | Massage Therapist | 9204 Menaul Blvd Ne Ste 4nw, Albuquerque, NM 87112-2256 | 2019-11-08 |
| 1609433804 | Jacqueline Collette Johnson | Massage Therapist | 612 Madeira Dr Se, Albuquerque, NM 87108-3614 | 2019-05-22 |
| 1194381624 | Kalina Holian | Massage Therapist | 401 Shirley St Ne, Albuquerque, NM 87123-2938 | 2019-05-09 |
| 1831654466 | Martina Dahl Solis | Massage Therapist | 4414 Towner Ave Ne Ste A, Albuquerque, NM 87110-3910 | 2019-02-07 |
| 1023592722 | Cristina Rose Gasca | Massage Therapist | 2921 Carlisle Blvd Ne Ste 104, Albuquerque, NM 87110-2850 | 2018-09-18 |
| 1639652449 | Sara Lynn Barker | Massage Therapist | 4601 Paradise Blvd Nw Ste 112, Albuquerque, NM 87114-6152 | 2018-09-08 |
| 1710469002 | Stephani Mccoy | Massage Therapist | 6211 San Mateo Blvd Ne Ste 200, Albuquerque, NM 87109-3534 | 2018-09-03 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87110 |
Please comment or provide details below to improve the information on MICHELLE 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.