Donna Marlane Bennett, FNP

Primary specialty

Occupational Health Nurse PractitionerTaxonomy code 363LX0106X

License

329221 Issued in CA

Practice address

845 S Fairmont Ave
#8
Lodi, CA 95240-5113

Phone

(209) 339-7633

NPI assigned

Jan 11, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Donna Marlane Ortegon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043360217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 OLIVE CT",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952401044",
            "telephone_number": "209-339-7633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 S FAIRMONT AVE",
            "address_2": "#8",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952405113",
            "telephone_number": "209-339-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "DONNA",
        "middle_name": "MARLANE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "CA",
            "license": "329221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "ORTEGON",
            "middle_name": "MARLANE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Aurora Renee Bell
• Tiffany Belousov, OTR/L
• Megan Belzer, RD
• Elizabeth Bender, NURSE PRACTITIONER
• Bennett Medical Services Inc
• Elizabeth Emily Bennett, NP
• Malcolm Andrew Berean, LMFT
• Franklin Otto Bernhoft, PH.D.
• Michelle Ellen Besse, LMFT
• Beyond Barriers, Inc.

• Occupational Health Nurse Practitioner in Lodi, CA
• Providers in Lodi, CA by specialty
• Occupational Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.