LISA M. BENNETT (NPI# 1669882106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669882106 |
| Entity Type | Individual |
| Full Name | LISA M. BENNETT |
| Other Name | LISA BYRNE |
| Credential | NP |
| Practice Address |
2401 Gillham Endocrinology Kansas City MO 64108-4619 |
| Mailing Address |
2401 Gillham Rd. Provider Enrollment Kansas City MO 64108-4619 |
| Practice Telephone | 8168551979 |
| Practice Fax Number | 8168551919 |
| Mailing Telephone | 8167015200 |
| Mailing Fax Number | 8163029939 |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2018-12-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
78393 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
2017027623 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
5756-33 | WI | Physician Assistants & Advanced Practice Nursing 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 |
2401 GILLHAM ENDOCRINOLOGY |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64108-4619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063460079 | Catherine Ong Simon | Pediatrics | 2401 Gillham, Children's Mercy Hospital, Kansas City, MO 64108 | 2006-05-04 |
| 1073030318 | Meg Elizabeth Peterson | Occupational Therapist | 2401 Gillham, Kansas City, MO 64108 | 2017-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194345561 | Diversity Telehealth, LLC | Health Educator | 1601 East 18th Street, 320a, Kansas City, MO 64108 | 2020-04-25 |
| 1447894092 | Claire-louise Sophia Young | Student in an Organized Health Care Education/Training Program | Truman Medical Center - Department of Pathology, 2301 Holmes, Kansas City, MO 64108 | 2019-11-06 |
| 1053962415 | Kymberly Kline | Behavior Technician | Riley Aba & Autism Center, 1936 Summit St, Kansas City, MO 64108 | 2019-09-26 |
| 1841854643 | Mallak Ahmed Ghozlan Zatreh | Student in an Organized Health Care Education/Training Program | 2301 Homes Street, Kansas City, MO 64108 | 2019-04-26 |
| 1003470881 | Sindhuja Palle | Internal Medicine | Truman Medial Center, 2301 Holmes Dept. of Interal Medicine, Kansas City, MO 64108 | 2019-04-26 |
| 1467016253 | Osama Mahmoud Okasha | Internal Medicine | Truman Medicial Center, 2301 Holmes, Dept of Internal Medicine, Kansas City, MO 64108 | 2019-04-26 |
| 1730643719 | Michele D Smith | Registered Nurse | 2101 Charlotte Street, Urology, Kansas City, MO 64108 | 2019-01-24 |
| 1437640414 | Omar Fayez Ahmad Abuqamar | Student in an Organized Health Care Education/Training Program | Truman Medical Center, 2301 Holmes St., Dept. of Internal Medicine, Kansas City, MO 64108 | 2018-05-24 |
| 1992200190 | Hannah Rebekah Hurst | Student in an Organized Health Care Education/Training Program | 2101 Charlotte St Ste 200, Kansas City, MO 64108 | 2018-03-28 |
| 1659873404 | William Andrew Carroll | Chiropractor | 313 E. 17th St. #210, Kansas City, MO 64108 | 2018-03-07 |
| Find all providers in zip 64108 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093235368 | Sally Williams Ehrich | Nurse Practitioner | 1004 Carondelet Dr Ste 350, Kansas City, MO 64114-4801 | 2017-06-27 |
| 1962623058 | Julie Lynne Thorne | Nurse Practitioner | 21 N 12th St Ste 300, Kansas City, KS 66102-5105 | 2007-05-02 |
| 1922159656 | Harriett Currie Navarre | Nurse Practitioner | 4313 State Ave, Kansas City, KS 66102-3734 | 2007-01-16 |
| 1336177831 | Veda Michele Donner | Nurse Practitioner | 8781 N. Platte Purchase Dr., Kansas City, MO 64155 | 2006-06-30 |
| 1235170424 | Kathleen Elizabeth Jansen-kraly | Nurse Practitioner | 16 E 63rd St, Kansas City, MO 64113-1612 | 2006-06-09 |
| 1629015029 | Eileen Calabria | Nurse Practitioner | 3101 Broadway Blvd Fl 2, Kansas City, MO 64111-2659 | 2006-06-02 |
| 1811934854 | Lechelle Delea Williams | Nurse Practitioner | 2410 Gillham Rd, Kansas City, MO 64108-2667 | 2006-05-31 |
| 1881648178 | Pamela Irene Western | Nurse Practitioner | 4605 Paseo Blvd, Kansas City, MO 64110-1861 | 2006-05-20 |
| 1962478552 | Karen Bauman Nelson | Nurse Practitioner | Ku Oto Hns Ms 3010, 3901 Rainbow Blvd., Kansas City, KS 66160-0001 | 2006-02-24 |
| 1881202745 | Taryn Wisor | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-07-16 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64108 |
Please comment or provide details below to improve the information on LISA M. 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.