MRS. KINNEATHEA DENISHA BENNETT (NPI# 1902346141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902346141 |
| Entity Type | Individual |
| Full Name | MRS. KINNEATHEA DENISHA BENNETT |
| Credential | NURSE PRACTITIONER |
| Practice Address |
5206 Research Dr San Antonio TX 78240-5251 |
| Mailing Address |
1032 S Ww White Rd San Antonio TX 78220-2531 |
| Practice Telephone | 2105955300 |
| Practice Fax Number | 2105955301 |
| Mailing Telephone | 2104473033 |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2019-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP133353 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 370823204 | 05 | |
| TX | AMERICAN ACADEMY OF NURSE PRACTITIONERS | AG0117008 | 01 |
| Street Address |
5206 RESEARCH DR |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78240-5251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649273145 | Irene Kazhdan | Internal Medicine | 5206 Research Dr, San Antonio, TX 78240-5251 | 2005-05-27 |
| 1487186508 | Ethan E Dubravsky | Physician Assistant | 5206 Research Dr, San Antonio, TX 78240 | 2017-03-29 |
| 1831544147 | Mihaela Damaris Smith | Nurse Practitioner | 5206 Research Dr, San Antonio, TX 78240-5251 | 2016-04-25 |
| 1619363306 | Carolyn Peters | Nurse Practitioner | 5206 Research Dr, San Antonio, TX 78240-5251 | 2015-04-09 |
| 1639580756 | Jennifer Caitlin Lee | Radiology | 5206 Research Dr, San Antonio, TX 78240-5251 | 2014-05-12 |
| 1699011825 | Stacy Nelson | Nurse Practitioner | 5206 Research Dr, San Antonio, TX 78240 | 2012-12-16 |
| 1487916813 | Melissa Ann Crawley | Internal Medicine | 5206 Research Dr, San Antonio, TX 78240-5251 | 2012-06-12 |
| 1790927382 | Heather Bowdre Haglund | Physician Assistant | 5206 Research Dr, San Antonio, TX 78240-5251 | 2009-03-30 |
| 1073799219 | Carolyn Jean Parke | Nurse Practitioner | 5206 Research Dr, San Antonio, TX 78240-5251 | 2008-01-17 |
| 1922280650 | Erica Carone | Physician Assistant | 5206 Research Dr, San Antonio, TX 78240 | 2007-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184285587 | Vipulkumar P Prajapati | Pathology | 7323 Snowden Rd Apt 3206, San Antonio, TX 78240 | 2019-06-26 |
| 1306406202 | Gabrielle Nicole Sepulveda | Audiologist | 21 Spurs Ln Ste 100, San Antonio, TX 78240 | 2019-06-13 |
| 1457919714 | Mbg Management Group LLC | Hospice Care, Community Based | 5460 Babcock Rd., Ste. 120, San Antonio, TX 78240 | 2019-06-03 |
| 1386117901 | Kevin M Miles | Counselor | 4820 Gus Eckert, #510, San Antonio, TX 78240 | 2019-01-07 |
| 1578046926 | Hubert Velasco | Physical Therapist | 5000 Fawn Meadow Lane, San Antonio, TX 78240 | 2018-09-12 |
| 1740767540 | Sunshine Pharmacy LLC | Pharmacy | 8840 Huebner Rd, San Antonio, TX 78240 | 2018-07-24 |
| 1982193132 | Fitch Surgical Assisting Group, LLC | Specialist/Technologist, Other | 6163 John Chapman, San Antonio, TX 78240 | 2018-05-03 |
| 1295243202 | Janice Marie Hennon | Nurse Practitioner | 9910 Huebner Rd., Suite 250, San Antonio, TX 78240 | 2018-01-12 |
| 1891213195 | Celina Paras | Dietitian, Registered | 6234 W. Jolie Ct., San Antonio, TX 78240 | 2017-09-07 |
| 1245757616 | Claudia G Valdez | Occupational Therapy Assistant | 9306 Maverick Pass, San Antonio, TX 78240 | 2017-08-27 |
| Find all providers in zip 78240 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659981066 | Gabriel David Alonso | Nurse Practitioner | 12554 Hillside Rnch, San Antonio, TX 78254-6266 | 2020-08-01 |
| 1811458094 | Kimberly Detherow | Nurse Practitioner | 126 Main Plz, San Antonio, TX 78205-2745 | 2019-03-28 |
| 1730685108 | Dimitra Denise Dunlap | Nurse Practitioner | 21827 Barton Woods, San Antonio, TX 78259-2350 | 2018-04-03 |
| 1780186601 | Melissa Ortiz | Nurse Practitioner | 1205 N Loop 1604 W Ste 232, San Antonio, TX 78258-4631 | 2018-03-07 |
| 1659687333 | Robert Chuck Hunt | Nurse Practitioner | 2011 E Houston St Ste 101a, San Antonio, TX 78202-2916 | 2010-08-19 |
| 1124207733 | Diana Lynn Stansbury-bartolomeo | Nurse Practitioner | 1714 Sw Military Dr, San Antonio, TX 78221-1411 | 2007-10-31 |
| 1700912904 | Paula Frances Christianson-silva | Nurse Practitioner | 7703 Floyd Curl Dr Rm 1.422, San Antonio, TX 78229-3901 | 2007-02-24 |
| 1174503742 | Keith Leilan Morgan | Nurse Practitioner | 16302 Ross Oak St, San Antonio, TX 78247-1333 | 2006-01-19 |
| 1841849171 | Linda Esmeralda Gutierrez | Nurse Practitioner | 8401 Datapoint Dr Ste 300, San Antonio, TX 78229-5925 | 2019-09-09 |
| 1164980827 | Daniel Pizana | Nurse Practitioner | 7979 Wurzbach Rd, San Antonio, TX 78229-4427 | 2019-03-12 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78240 |
Please comment or provide details below to improve the information on MRS. KINNEATHEA DENISHA 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.