CRYSTAL LYNN BENNETT (NPI# 1770839953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770839953 |
Entity Type | Individual |
Full Name | CRYSTAL LYNN BENNETT |
Credential | FNP |
Practice Address |
1012 Louisa St Rayville LA 71269-2957 |
Practice Telephone | 3187282046 |
Practice Fax Number | 3187286163 |
Mailing Telephone | 3187282046 |
Mailing Fax Number | 3187286163 |
Enumeration Date | 2012-07-25 |
Last Update Date | 2012-07-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP06953 | LA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881907566 | Crystal Yvette Bennett | Massage Therapist | 37 103rd Ave Ne Ste A, Bellevue, WA 98004-4983 | 2010-07-22 |
1457349235 | Crystal Leigh Bennett | Pharmacist | 1124 Patton Ave, Asheville, NC 28806-2706 | 2005-10-06 |
1871059261 | Crystal Bennett | Counselor | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2019-02-11 |
1326512120 | Crystal Rae Bennett | Counselor | 2107 Spruce Street, North Collins, NY 14111 | 2019-01-15 |
1093066367 | Crystal Marie Bennett | Nurse Practitioner | 701 E El Camino Real, Mountain View, CA 94040-2833 | 2012-09-27 |
1134312648 | Crystal Lee Bennett | Occupational Therapist | 1240 N 19th St, Nebraska City, NE 68410-1119 | 2007-08-20 |
1093922312 | Crystal Bonura Bennett | Speech-Language Pathologist | 8128 Florida Blvd, Denham Springs, LA 70726-7865 | 2007-05-17 |
Street Address |
1012 LOUISA ST |
City | RAYVILLE |
State | LA |
Zip Code | 71269-2957 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346345071 | Dan J Lafleur | Family Medicine | 1012 Louisa St, Rayville, LA 71269-2957 | 2006-09-14 |
1558650861 | Matthew Daniel Prine | Family Medicine | 1012 Louisa St, Rayville, LA 71269-2957 | 2011-04-07 |
1316136385 | David Howard Dunn | Obstetrics & Gynecology | 1012 Louisa St, Rayville, LA 71269-2957 | 2007-10-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760089106 | Patricia Riley Mceacharn | Counselor | 161 Coumeaux Rd, Rayville, LA 71269 | 2020-10-08 |
1073122420 | Second Chances Recovery Center LLC | Substance Abuse Rehabilitation Facility | 161 Coumeaux Road, Rayville, LA 71269 | 2020-07-30 |
1518580901 | Carrie Hendrix Allen | Physical Therapist | 29 Clark Rd, Rayville, LA 71269 | 2020-05-20 |
1679056378 | Donnesha Martin | Case Manager/Care Coordinator | 114 Ineichen Street Suite A, Rayville, LA 71269 | 2018-09-10 |
1518474238 | Colonial Manor Nursing and Rehabilitation Home Inc | Skilled Nursing Facility | 307 Foster Street, Rayville, LA 71269 | 2018-01-03 |
1205294535 | Patricia S Johnson | Counselor | 114 Ineechen Street, Rayville, LA 71269 | 2016-02-01 |
1235423526 | Melissa Sears | Case Manager/Care Coordinator | 114 Ineichen St Ste A, Rayville, LA 71269 | 2011-06-03 |
1639484983 | W. Tyler Heath, D.m.d., Family Dentistry A Dent | Dentist | 1107 Louisa Street, Rayville, LA 71269 | 2010-08-11 |
1093996969 | Richardson Medical Center School Based Health Clinic | Clinic/Center | 155 Hwy 3048, Rayville, LA 71269 | 2007-11-20 |
1477761393 | Cookies Helping Hands | Technician | 1298 Hwy 861, Crowville, LA 71269 | 2007-05-21 |
Find all providers in zip 71269 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326441734 | Jennifer Anne Garrett | Nurse Practitioner | 946 Mengle Rd, Rayville, LA 71269-4204 | 2014-09-30 |
1619315579 | Emily Suzanne Stansbury | Nurse Practitioner | 129 Christian Dr, Rayville, LA 71269-3658 | 2013-06-12 |
1255323390 | Jennifer Gay Bennett | Nurse Practitioner | 5975 Federal Hwy 80, Rayville, LA 71269-2957 | 2005-08-16 |
1134636293 | Holly Reichardt | Nurse Practitioner | 1962 Julia St, Rayville, LA 71269-5527 | 2018-01-10 |
1205187499 | Valerie Butler Daniel | Nurse Practitioner | 1962 Julia St, Rayville, LA 71269 | 2012-09-27 |
1023321601 | Caroline Dixon Carpenter | Nurse Practitioner | 1962 Julia St, Rayville, LA 71269-5527 | 2010-07-23 |
1922231992 | Cecilia Weaver | Nurse Practitioner | 1962 Julia St, Rayville, LA 71269-5527 | 2009-08-25 |
1760614804 | Sarah Katherine Whitman | Nurse Practitioner | 1962 Julia St, Rayville, LA 71269-5527 | 2009-08-21 |
1417186529 | Cammeron Lutrick | Nurse Practitioner | 1962 Julia St, Rayville, LA 71269-5527 | 2009-07-09 |
1093853046 | Myra Lynn Alderman | Nurse Practitioner | 121 Christian Dr, Rayville, LA 71269-3658 | 2007-02-02 |
Find all providers in RAYVILLE |
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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.