MS. AMANDA BENNETT (NPI# 1750858056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750858056 |
| Entity Type | Individual |
| Full Name | MS. AMANDA BENNETT |
| Credential | CPNP |
| Practice Address |
2000 Riverside Pkwy Ste 207 Lawrenceville GA 30043-5926 |
| Practice Telephone | 6786460404 |
| Practice Fax Number | 6786460202 |
| Mailing Telephone | 6786460404 |
| Mailing Fax Number | 6786460202 |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2018-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN216022 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700302528 | Amanda Elizabeth Bennett | Nurse Practitioner | 102 South Thrid Street, Suite 100, Carson City, MI 48811 | 2017-08-15 |
| 1962867838 | Amanda Bennett | Specialist | 705 Central Parke Cir Apt 208, Lakeland, FL 33805-9590 | 2015-12-21 |
| 1023436847 | Amanda Laine Bennett | Student in an Organized Health Care Education/Training Program | 137 S Alexander St, New Orleans, LA 70119-5904 | 2014-03-29 |
| 1891838041 | Amanda Renee Bennett | Pharmacy Technician | 580 E Diamond Ave, Evansville, IN 47711-3716 | 2007-02-15 |
| 1558329862 | Amanda Dawn Bennett | Nurse Practitioner | 801 W Rex Allen Dr, Willcox, AZ 85643-1129 | 2006-05-03 |
| 1578533345 | Amanda K Bennett | Family Medicine | 2585 3rd Avenue, Huntington, WV 25703 | 2006-01-25 |
| 1992346944 | Amanda Lorraine Bennett | Counselor | 2801 N Flagler Dr, West Palm Beach, FL 33407-5215 | 2019-10-01 |
| 1851862577 | Amanda Bennett | Nurse Practitioner | 1200 7th Ave N, St Petersburg, FL 33705-1300 | 2018-12-06 |
| 1205321692 | Amanda Bennett | Behavior Technician | 3595 2nd Ave N, Palm Springs, FL 33461-4027 | 2018-06-27 |
| 1427559624 | Amanda Bennett | Behavior Technician | 25115 Avenue Stanford Ste 100, Valencia, CA 91355-4791 | 2018-02-22 |
| Street Address |
2000 RIVERSIDE PKWY STE 207 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30043-5926 |
| 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 | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306459250 | Erin Ashley Cox | Nurse Practitioner | 1155 Lawrenceville Suwanee Rd, Lawrenceville, GA 30043-5425 | 2020-08-28 |
| 1811511140 | Oanh Ngoc Thi Tran | Nurse Practitioner | 1155 Lawrenceville Suwanee Rd, Lawrenceville, GA 30043-5425 | 2020-06-02 |
| 1487168605 | Stephanie Jones | Nurse Practitioner | 595 Hurricane Shoals Rd Nw, Suite 300, Lawrenceville, GA 30046 | 2017-11-27 |
| 1689119299 | Emily Griffin Roper | Nurse Practitioner | 3525 Sugarloaf Pkwy, Lawrenceville, GA 30044-5403 | 2017-01-05 |
| 1104371434 | Andrea E Piscadlo | Nurse Practitioner | 132 Franklin Corner Rd, Lawrenceville, NJ 08648-2523 | 2016-08-16 |
| 1699113308 | Elizabeth Hill | Nurse Practitioner | 132 Franklin Corner Rd, Lawrenceville, NJ 08648-2523 | 2013-06-05 |
| 1386999613 | Amanda Lee Carlton | Nurse Practitioner | 595 Hurricane Shoals Road Nw, Suite 300, Lawrenceville, GA 30046 | 2012-07-24 |
| 1841580420 | Pediatric Associtaes of Lawrenceville, LLC | Nurse Practitioner | 755 Old Norcross Rd, Lawrenceville, GA 30046-4317 | 2011-04-15 |
| 1144528928 | Lauren Ashley Garmon | Nurse Practitioner | 595 Hurricane Shoals Road Nw, Suite 300, Lawrenceville, GA 30046 | 2011-03-03 |
| 1699815738 | Kristine Marie Evavold | Nurse Practitioner | 595 Hurricane Shoals Road Nw, Suite 300, Lawrenceville, GA 30046 | 2007-02-07 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30043 |
Please comment or provide details below to improve the information on MS. AMANDA 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.