Emma C Bennett

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

19804 122ND St E
Bonney Lake, WA 98391-7490

Phone

(253) 292-8980

NPI assigned

Mar 25, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1083364848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19804 122ND ST E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983917490",
            "telephone_number": "253-292-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19804 122ND ST E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983917490",
            "telephone_number": "253-292-8980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "EMMA",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eva Beal
• Susan M Beardemphl, PT
• Helena Becker, D.M.D.
• Mary Catherine Beer
• Maria Beloit, ARNP, FNP-C
• Travis Benson, MD
• Dora Laura Berfield, CAAR.CG.70009265
• Adrienne Ann Berg, ARNP
• Berucha LLC
• Best Northwest Physicians PLLC

• Athletic Trainer in Bonney Lake, WA
• Providers in Bonney Lake, WA by specialty
• Athletic Trainer in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; 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.