JAMIE BENNETT (NPI# 1700115334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700115334 |
| Entity Type | Individual |
| Full Name | JAMIE BENNETT |
| Credential | APRN, PMHNP-BC |
| Practice Address |
640 East Broadway Jackson WY 83001-1868 |
| Mailing Address |
Po Box 4834 Jackson WY 83001-4834 |
| Practice Telephone | 3077332046 |
| Practice Fax Number | 3077336289 |
| Mailing Telephone | 3076900907 |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2020-03-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
19278 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
19278.1031 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | PSYCHIATRIC NURSE PRACTICONER | 19278 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508395294 | Jamie Michael Bennett | Social Worker | Ebh 1bct 5th Armored Division Drive, Fort Drum, NY 13602 | 2017-06-07 |
| 1982939633 | Jamie Sue Bennett | Physical Therapist | 2073 Holton Rd, Muskegon, MI 49445-1535 | 2009-10-14 |
| 1083800080 | Jamie A. Bennett | Optometrist | 401 E Silas St, Bartlesville, OK 74003-3611 | 2007-09-24 |
| 1598329047 | Jamie L Bennett | Counselor | 300 Morton St, Jackson, OH 45640-1028 | 2019-04-30 |
| 1992220297 | Jamie Bennett | Social Worker | 160 W 86th St, New York, NY 10024-4018 | 2017-08-08 |
| 1528433315 | Jamie Bennett | Occupational Therapist | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2015-12-06 |
| 1346615473 | Jamie Bennett | Nurse Practitioner | 613 23rd St Ste 230, Ashland, KY 41101-2868 | 2015-12-01 |
| 1275912693 | Jamie Bennett | Pharmacist | 2501 Jackson Ave, Point Pleasant, WV 25550-2035 | 2015-05-19 |
| Street Address |
640 EAST BROADWAY |
| City | JACKSON |
| State | WY |
| Zip Code | 83001-1868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760635940 | Ivy E. Assenberg | Counselor | 640 East Broadway, Jackson, WY 83001-1868 | 2008-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861006108 | Anne Kathleen Milburn | Physical Therapist | 3620 S Park Drive, Jackson, WY 83001 | 2020-09-03 |
| 1568009637 | Katherine Pringle Ford | Case Manager/Care Coordinator | 2065 E. Limber Pine Road, Jackson, WY 83001 | 2019-12-07 |
| 1043878408 | Cossette Burnham | Physical Therapist | Four Pines Physical Therapy, 1090 S Hwy 89, Jackson, WY 83001 | 2019-05-31 |
| 1982169371 | Cynthia Buck Huyffer | Social Worker | 755a Cache Creek Drive, Jackson, WY 83001 | 2019-02-10 |
| 1093281594 | Lara Cilo | Speech-Language Pathologist | 1300 W. Valley Springs Road, Jackson, WY 83001 | 2018-10-23 |
| 1740776202 | Teton Oral and Maxillofacial Surgery | Dentist | 1160 Alpine Ln Ste 1d, Jackson, WY 83001 | 2018-07-09 |
| 1437642055 | Anna Yanchek | Physical Therapist | 1090 Us- 89, Jackson Hole, WY 83001 | 2018-06-08 |
| 1891200762 | Tyler Ross Wright | Chiropractor | 1325 Us-89, Suite 108, Jackson, WY 83001 | 2017-12-13 |
| 1073027280 | Root To Rise Counseling and Consulting, Pllc | Social Worker | 2033 Dandelion Court, Jackson, WY 83001 | 2017-11-27 |
| 1962923912 | Piper Worthington | Social Worker | 1910 High School Rd, Jackson, WY 83001 | 2017-06-29 |
| Find all providers in zip 83001 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511981 | Nurture Mental Health & Wellness Center LLC | Nurse Practitioner | 125 S King St Ste 2a, Jackson, WY 83001-8124 | 2020-09-07 |
| 1811511819 | Aretha M. Northington | Nurse Practitioner | 1430 Wingfield Dr., Jackson, MS 39204-4448 | 2020-06-04 |
| 1760921225 | A Beautiful Mind LLC | Nurse Practitioner | 1856 Smallwood St, Jackson, MS 39212-2521 | 2017-02-16 |
| 1013302082 | Tiffany Griffin | Nurse Practitioner | 3450 Highway 80 West, Jackson, MS 39209 | 2015-04-06 |
| 1114311446 | Lakeisha Crye Green | Nurse Practitioner | 5568 Tiki Ln, Jackson, MS 39212-3657 | 2015-03-25 |
| 1205176716 | Robert White LLC | Nurse Practitioner | 2290 West County Line Rd, Suite 105, Jackson, NEW JERSEY 08527 | 2013-02-20 |
| 1699046235 | Matrix Wellness Solutions | Nurse Practitioner | 384 Carriage House Dr Ste D, Suite D, Jackson, TN 38305-2268 | 2012-01-12 |
| 1063721314 | Anna M Cook | Nurse Practitioner | 163 W Univeristy Parkway, Jackson, TN 38305 | 2010-10-05 |
| 1720245848 | Carol Jeanne Dove | Nurse Practitioner | 4044 Briggs Ct, Jackson, MI 49201-9033 | 2008-05-16 |
| 1730203415 | Sherry M Blackford | Nurse Practitioner | 238 Summar Drive, Jackson, TN 38301 | 2007-03-19 |
| Find all providers in JACKSON | ||||
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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.