MRS. WENDY DAWN BENTON (NPI# 1992096275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992096275 |
Entity Type | Individual |
Full Name | MRS. WENDY DAWN BENTON |
Practice Address |
122 17th Court Ne Fayette AL 35555 |
Practice Telephone | 2059323900 |
Practice Fax Number | 2059323941 |
Mailing Telephone | 2059323900 |
Mailing Fax Number | 2059323941 |
Enumeration Date | 2011-04-21 |
Last Update Date | 2011-04-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-079781 | AL | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760703375 | Wendy Patterson Benton | Pharmacist | 302 E Main St, Cherryville, NC 28021-3411 | 2010-06-17 |
1083884498 | Wendy Benton | Physical Therapist | 7505 Greenway Center Dr, 301, Greenbelt, MD 20770-3507 | 2008-03-03 |
Street Address |
122 17TH COURT NE |
City | FAYETTE |
State | AL |
Zip Code | 35555 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982213021 | Brittany Nicole Pate | Pharmacist | 3186 Al-171 N, Fayette, AL 35555 | 2020-07-24 |
1942703020 | The Language Lab | Clinic/Center | 111 Columbus Street East, Fayette, AL 35555 | 2018-03-14 |
1407292709 | Lana Langley | Speech-Language Pathologist | 111 Columbus St E, Fayette, AL 35555 | 2013-05-14 |
1699004929 | Patricia Lorraine Montgomery | Counselor | 123 2nd Avenue, Nw, Fayette, AL 35555 | 2009-12-16 |
1184826398 | Charles Thomas Webster | Pharmacist | 1116 2nd Ave Ne, Fayette Square Shopping Center, Fayette, AL 35555 | 2007-06-01 |
1114060381 | Fayette County Health Dept Adult Immun | Public Health or Welfare | 211 First Street, N.w., Fayette, AL 35555 | 2007-02-15 |
1356433064 | Dana Suzette Norris | Nurse Practitioner | 1653 Temple Ave N Ste 1, Fayette, AL 35555 | 2006-09-29 |
1992788871 | Air Evac Ems Inc | Ambulance | 108 21st St Ne, Fayette, AL 35555 | 2005-11-23 |
1255656112 | Debbie Kilgore Yerby | Pharmacist | 1716 Temple Avenue North, Fayette, AL 35555 | 2010-04-05 |
1376678474 | State of Alabama Department of Public Health | Public Health or Welfare | 211 First Street, N.w., Fayette, AL 35555 | 2007-02-22 |
Find all providers in zip 35555 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942741764 | Prime Health and Wellness | Nurse Practitioner | 300 Shannon Street, Fayette, MS 39069 | 2017-03-13 |
1053666503 | Valerie Michele White | Nurse Practitioner | 225 Community Dr., Fayette, MS 39069 | 2012-07-20 |
1447864160 | Juliet Thornton | Nurse Practitioner | 110 23rd St Nw, Fayette, AL 35555-1001 | 2020-09-01 |
1992323059 | Averi Brookelyn Smith Botts | Nurse Practitioner | 122 17th Ct Ne, Fayette, AL 35555-1353 | 2020-07-06 |
1083242390 | India Martin | Nurse Practitioner | 870 Main St, Fayette, MS 39069-5695 | 2020-03-31 |
1144792508 | Jenna Clary Harkness | Nurse Practitioner | 110 23rd St Nw, Fayette, AL 35555-1001 | 2018-12-26 |
1205302882 | Lori Jean Weekley | Nurse Practitioner | 308 S Church St, Fayette, MO 65248-1243 | 2018-10-22 |
1114423936 | Lauren Leigh Haley | Nurse Practitioner | 110 23rd St Nw, Fayette, AL 35555-1001 | 2018-04-02 |
1295273670 | Matthew Kevin Bounds | Nurse Practitioner | 870 Main St, Fayette, MS 39069-5695 | 2017-02-06 |
1396297453 | Lakeitha Hamberlin Turner | Nurse Practitioner | 405 Main Street, Fayette, MS 39069 | 2016-10-25 |
Find all providers in FAYETTE |
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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.