KRISTIN LEIGH BENNETT (NPI# 1689182784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689182784 |
| Entity Type | Individual |
| Full Name | KRISTIN LEIGH BENNETT |
| Credential | NP-C |
| Practice Address |
2000 Riverside Pkwy Ste 107 Lawrenceville GA 30043-5926 |
| Mailing Address |
470 Old Henry Grady Rd Dawsonville GA 30534-2424 |
| Practice Telephone | 7708813638 |
| Mailing Telephone | 7062167055 |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2018-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN184042 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386241271 | Kristin Bennett | Registered Nurse | 1273 Black Oak Dr, Greenwood, IN 46143-3121 | 2020-10-05 |
| 1376196790 | Kristin D Bennett | Behavior Technician | 11789 Grotto Hills Ln, Victorville, CA 92392-0494 | 2019-07-24 |
| 1679783393 | Kristin Marie Bennett | Counselor | 20 Winter St, Pembroke, MA 02359-4965 | 2007-05-23 |
| 1336646728 | Kristin Bennett | Physical Therapy Assistant | 205 Ridgely Ave, Annapolis, MD 21401-1303 | 2018-04-11 |
| 1821514134 | Kristin Elizabeth Bennett | Pharmacist | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2017-08-17 |
| 1952772865 | Kristin Ann Bennett | Counselor | 89 Access Rd Ste 24, Norwood, MA 02062 | 2015-10-19 |
| 1992022966 | Kristin Bennett | Orthotist | 1300 44th St Se, Everett, WA 98203-2200 | 2010-04-29 |
| 1548421621 | Kristin H Bennett | Obstetrics & Gynecology | 4905 Old Orchard Ctr Ste 200, Skokie, IL 60077-1462 | 2008-06-20 |
| 1578627642 | Kristin Bennett | Anesthesiology | 4150 V St, Patient Support Services Building Suite 1200, Sacramento, CA 95817-1460 | 2006-12-21 |
| 1922047299 | Kristin Michelle Bennett | Otolaryngology | 10200 Trinity Pkwy Ste 201, Stockton, CA 95219-7288 | 2006-06-05 |
| Street Address |
2000 RIVERSIDE PKWY STE 107 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30043-5926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609081801 | Jaami Lynn Mcclellan Rutledge | Registered Nurse | 2000 Riverside Pkwy Ste 107, Lawrenceville, GA 30043-5926 | 2007-05-11 |
| 1356983928 | Brittany Walker | Nurse Practitioner | 2000 Riverside Pkwy Ste 107, Lawrenceville, GA 30043-5926 | 2019-10-15 |
| 1760975619 | Joann Melinda Brown | Nurse Practitioner | 2000 Riverside Pkwy Ste 107, Lawrenceville, GA 30043-5926 | 2018-06-14 |
| 1942791108 | Susan Allison Pellettieri | Social Worker | 2000 Riverside Pkwy Ste 107, Lawrenceville, GA 30043-5926 | 2018-05-23 |
| 1649772872 | Keryn Johnson Benasuly | Social Worker | 2000 Riverside Pkwy Ste 107, Lawrenceville, GA 30043-5926 | 2018-03-04 |
| 1013431766 | Maafia A Osei-cheremeh | Nurse Practitioner | 2000 Riverside Pkwy Ste 107, Lawrenceville, GA 30043-5926 | 2017-08-02 |
| 1235669045 | Sb Healthcare, LLC | Internal Medicine | 2000 Riverside Pkwy Ste 107, Lawrenceville, GA 30043-5926 | 2017-06-14 |
| 1275972978 | Andrea Elaine Ricketts | Nurse Practitioner | 2000 Riverside Pkwy Ste 107, Lawrenceville, GA 30043-5926 | 2013-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483882 | Brittany Javier Dunn | Counselor | 2387 Lawrenceville Huntcrest Way, Lawreneville, GA 30043 | 2020-09-30 |
| 1629614037 | Terrea Gina Bridges | Behavior Technician | 2387 Huntcrest Rd, Lawrenceville, GA 30043 | 2019-11-20 |
| 1215581756 | Elegant Lm Management, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1020 Meadowsong Circle, Lawrenceville, GA 30043 | 2019-08-01 |
| 1093299778 | Shareef Nahas | Clinical Medical Laboratory | 1130 Hurricane Shoals Rd, Suite 1800, Lawrenceville, GA 30043 | 2018-09-19 |
| 1649766874 | Nutritionecw LLC | Dietitian, Registered | 1755 North Brown Rd, Ste.200, Lawrenceville, GA 30043 | 2018-07-11 |
| 1962997965 | David Le Nguyen | Dentist | 2000 Riverside Pkwy Ste 200, Lawrenceville, GA 30043 | 2018-06-22 |
| 1932611688 | Asfc Outreach Therapeutic Counseling Services, LLC | Counselor | 1755 North Brown Road, Suite 200, Lawrenceville, GA 30043 | 2017-11-02 |
| 1518486810 | Shira Brey Williams | Specialist/Technologist | 1030 Collins Hill Rd, Lawrenceville, GA 30043 | 2017-09-18 |
| 1700300795 | Nympha J. Mathurin Meadows | Behavioral Analyst | 650 Oxford Crest Ct, Lawrenceville, GA 30043 | 2017-08-01 |
| 1992245591 | Jagruti Chaudhari | Nurse Practitioner | 855 Buford Drive, Lawrenceville, GA 30043 | 2017-03-01 |
| Find all providers in zip 30043 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962017343 | Sarah Mcmillan | Nurse Practitioner | 971 Sonoma Dr, Lawrenceville, GA 30045-7842 | 2020-09-11 |
| 1801406590 | Allyson Fiscus | Nurse Practitioner | 11020 Il-250, Lawrenceville, IL 62439 | 2020-08-06 |
| 1811532963 | Lubna Rizvan Momin | Nurse Practitioner | 542 Sydney Michelle Ln, Lawrenceville, GA 30046-3352 | 2019-11-13 |
| 1255800785 | Vonda Lynn Farrar | Nurse Practitioner | 1918 De Winton Pl, Lawrenceville, GA 30043-5021 | 2018-11-14 |
| 1598234122 | Melisha K John-baptiste | Nurse Practitioner | 4850 Sugarloaf Pkwy Ste 209-190, Lawrenceville, GA 30044-2859 | 2018-11-13 |
| 1932685385 | Carolyn Stewart | Nurse Practitioner | 3266 Bridge Walk Dr, Lawrenceville, GA 30044-5128 | 2018-07-18 |
| 1891236451 | Donnette Todd | Nurse Practitioner | 749 Flowers Xing, Lawrenceville, GA 30044-5954 | 2017-03-15 |
| 1952765869 | Johana M Ortiz | Nurse Practitioner | 1033 Gather Dr, Lawrenceville, GA 30043-7553 | 2016-04-06 |
| 1164885778 | Ablavi Agomessou | Nurse Practitioner | 881 Ivydale Ln, Lawrenceville, GA 30045-7818 | 2016-03-31 |
| 1205291028 | Lorraine Laplace | Nurse Practitioner | 2522 Cruse Rd Ste C2, Lawrenceville, GA 30044 | 2015-12-21 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30043 |
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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.