TRACY LYNN BENNETT (NPI# 1811379332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811379332 |
| Entity Type | Individual |
| Full Name | TRACY LYNN BENNETT |
| Credential | NURSE PRACTITIONER |
| Practice Address |
3281 Kessock Ridge Trl Snellville GA 30039-3112 |
| Practice Telephone | 6789863315 |
| Mailing Telephone | 6789863315 |
| Enumeration Date | 2015-06-20 |
| Last Update Date | 2015-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN146400 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285243444 | Tracy Travina Bennett | Registered Nurse | 10762 Wilson Ave, Alta Loma, CA 91737-2436 | 2020-07-23 |
| 1548741895 | Tracy Lynne Bennett | Nurse Practitioner | 6262 Highway 316 S, Marvell, AR 72366-9439 | 2018-08-24 |
| 1285790360 | Tracy S Bennett | Psychologist | 340 Rosewood Ave, Camarillo, CA 93010-5927 | 2006-12-31 |
| 1619449147 | Tracy Bennett | Social Worker | 12265 James St, Holland, MI 49424-8613 | 2018-12-21 |
| 1457560419 | Tracy M Bennett | Physician Assistant | 360 Broadway, Bangor, ME 04401-3900 | 2007-05-22 |
| 1487869210 | Tracy W Bennett | Counselor | 95 India St, Portland, ME 04101-4250 | 2007-05-14 |
| Street Address |
3281 KESSOCK RIDGE TRL |
| City | SNELLVILLE |
| State | GA |
| Zip Code | 30039-3112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710593819 | David Spellings | Physical Therapist | 3991 Us-78, Suite 200, Snellville, GA 30039 | 2020-09-23 |
| 1245849785 | Tanner Brown | Physical Therapist | 3991 Us-78 Suite 200, Snellville, GA 30039 | 2020-07-30 |
| 1215571294 | Ora Gylbryne Brown | Behavioral Analyst | 4189 White Road, Snellville, GA 30039 | 2019-11-01 |
| 1780174953 | Kolawole J Adeyeye | Nursing Care | 4729 Polly Pl, Snellville, GA 30039 | 2018-05-14 |
| 1255820007 | Bacchus Private Home Care LLC | Home Health | 4925 Bridle Point Parkway, Snellville, GA 30039 | 2018-05-08 |
| 1508368051 | Sovereign Medical Services, Inc | Community/Behavioral Health | 3806 Wood Hollow Way, Snellville, GA 30039 | 2018-03-01 |
| 1356865265 | Shanique Griffiths | Counselor | 2580 Broadmoor Ct, Snellville, GA 30039 | 2017-08-01 |
| 1265952584 | Miracles In Motion Foundation | Case Management | 4276 Burgomeister Place, Snellville, GA 30039 | 2017-06-27 |
| 1194245704 | Loliya Joy Stewart | Dentist | 3966 Annistown Rd, Snellville, GA 30039 | 2017-06-24 |
| 1023543014 | Natasha Marie Smith | Nurse's Aide | 2423 Northbrook Rd, Snellville, GA 30039 | 2017-04-27 |
| Find all providers in zip 30039 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902423163 | Ascende Healthcare | Nurse Practitioner | 2151 Fountain Dr Ste 301l, Snellville, GA 30078-6783 | 2020-07-02 |
| 1336764802 | Gwinnett Care At Home LLC | Nurse Practitioner | 3585 Edenderry Dr, Snellville, GA 30039-5961 | 2020-06-10 |
| 1255967246 | Nelly Osakwe-ozumba | Nurse Practitioner | 2994 Bridgehaven Ct, Snellville, GA 30039-7334 | 2020-03-21 |
| 1891345823 | Rory Lyn Hunkele | Nurse Practitioner | 1700 Tree Ln Ste 390, Snellville, GA 30078-6744 | 2019-09-11 |
| 1992268908 | Marjean Tyndale | Nurse Practitioner | 2800 Lake Port Dr, Snellville, GA 30039-5452 | 2019-04-08 |
| 1194207126 | April Anita Bright | Nurse Practitioner | 3850 Mountain Cove Rd, Snellville, GA 30039-8429 | 2018-09-06 |
| 1245716505 | Kasey Lila Lieu | Nurse Practitioner | 3020 Centerville Hwy, Snellville, GA 30039-4614 | 2018-07-19 |
| 1740782002 | Krystal Allen | Nurse Practitioner | 3381 Open Fields Dr, Snellville, GA 30078-4573 | 2018-03-02 |
| 1245740372 | Carolyn Turner Lawson | Nurse Practitioner | 1600 Medical Way Ste 200, Snellville, GA 30078-2160 | 2017-10-03 |
| 1891204640 | Melanie Tyler-payton | Nurse Practitioner | 3672 Zoey Lee Dr, Snellville, GA 30039-5302 | 2017-09-25 |
| Find all providers in SNELLVILLE | ||||
| City | SNELLVILLE |
| Zip Code | 30039 |
Please comment or provide details below to improve the information on TRACY LYNN 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.