Alicia Marie Bennett, MS, ATC, CPFS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

340 Lama St.
Lanai City, HI 96763-0630

Phone

(808) 559-6435

NPI assigned

Mar 23, 2006

Last updated

Nov 28, 2012By the provider in NPPES

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

Credentials

Master of Science

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354060800000",
    "number": "1629037999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 LAMA ST.",
            "city": "LANAI CITY",
            "state": "HI",
            "postal_code": "967630630",
            "telephone_number": "808-559-6435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 LAMA ST.",
            "city": "LANAI CITY",
            "state": "HI",
            "postal_code": "967630630",
            "telephone_number": "808-559-6435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "ALICIA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MS, ATC, CPFS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2012-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "HI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kris Aceret, FNP, APRN-RX; RN
• Taryn Achong Amby, RN, DNP, FNP
• Juvy Rivad Alconcel, MASSAGE THERAPIST
• Bio-Medical Applications of California, Inc. (FMC Lanai Community Dialysis Center)
• Jamie Kamailani Boyd, FNP
• Karen Brown, LMT
• Dept. of Health-Hawaii-Child and Adolescent Mental Health Division
• Tyra Renee Du Bose

• Athletic Trainer in Lanai City, HI
• Providers in Lanai City, HI by specialty
• Athletic Trainer in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; 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.