PROF. KATETIA H BENNETT (NPI# 1780145714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780145714 |
| Entity Type | Individual |
| Full Name | PROF. KATETIA H BENNETT |
| Practice Address |
3500 Vest Mill Rd Ste 33 Winston Salem NC 27103-2978 |
| Mailing Address |
3837 Crusade Dr Winston Salem NC 27101-2252 |
| Practice Telephone | 3369345354 |
| Practice Fax Number | 8774455698 |
| Mailing Telephone | 3369833046 |
| Mailing Fax Number | 8774455698 |
| Enumeration Date | 2019-03-31 |
| Last Update Date | 2019-03-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
202876 | NC | Nursing Service Providers |
| Street Address |
3500 VEST MILL RD STE 33 |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-2978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790327666 | Innovation Healthcare Solution, Pllc | Home Infusion | 3500 Vest Mill Rd Ste 33, Winston Salem, NC 27103-2978 | 2019-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881021798 | Sharmel Yvette Hooper | Registered Nurse | 1001 S Marshall St, Mailbox 27, Winston Salem, NC 27101-5852 | 2013-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811513997 | Yneka Travon Rhodes | Registered Nurse | 3280 Charles Blvd, Greenville, NC 27858-8875 | 2020-06-24 |
| 1770105108 | Faraja F Barbour | Registered Nurse | 1633 Country Club Rd, Rocky Mount, NC 27804-6316 | 2020-05-07 |
| 1609420629 | Kera Tahmara Diggs Brown | Registered Nurse | 4724 Grasset Ave, Charlotte, NC 28269-4025 | 2019-07-29 |
| 1225691983 | Janice Cooper Bell | Registered Nurse | 94 Bended Knee Dr, Whittier, NC 28789-7114 | 2019-04-18 |
| 1306305248 | Lisa Danielle Mack | Registered Nurse | 1014 Harvest Grove Ct, Hope Mills, NC 28348-9272 | 2019-03-19 |
| 1700358330 | Linda M Alexander | Registered Nurse | 4614 Wilgrove Mint Hill Rd Ste C1, Mint Hill, NC 28227-3547 | 2018-12-20 |
| 1285104729 | Mothers Helper Home Health Solutions Inc | Registered Nurse | 518 Beaumont Rd Ste 102, Fayetteville, NC 28304-4447 | 2018-11-27 |
| 1588153696 | Lucy Jepchumba Kenei | Registered Nurse | 1925 Buffalo Way, Durham, NC 27704-4770 | 2018-05-03 |
| 1326550658 | Care Advantage-north Carolina LLC | Registered Nurse | 3231 Avent Ferry Rd Ste 103, Raleigh, NC 27606 | 2017-10-26 |
| 1235662867 | Kathy Cutler | Registered Nurse | 3517 Sudbury Rd, Charlotte, NC 28205-4331 | 2017-04-10 |
| Find all providers with the same taxonomy | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
Please comment or provide details below to improve the information on PROF. KATETIA H 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.