Active NPI
Lynne Marie Bennett, ARRT RM
- Radiologic Technologist
- Lacey, WA
National Provider Identifier
1801118468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiologic Technologist
- License
- 108238
- Practice address
- 2325 Pleasanton CT SE
Lacey, WA 98503-3410 - Phone
- (360) 350-0029
- NPI assigned
- Feb 24, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | 108238 | Primary | |
| Mammography Radiologic Technologist | 2471M2300X | 108238 | ||
| Radiologic Technologist | 247100000X | 00085109 | CA | |
| Radiologic Technologist | 247100000X | 60005660 | WA | |
| Radiologic Technologist | 247100000X | 105444 | OR | |
| Mammography Radiologic Technologist | 2471M2300X | 00085109 | CA |
Addresses
Primary practice location
2325 Pleasanton CT SE
Lacey, WA 98503-3410
Mailing address
2325 Pleasanton CT SE
Lacey, WA 98503-3410
Phone (360) 350-0029
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00085109 | CA | MD | Radiologic Technologist |
| 105444 | OR | MD | Radiologic Technologist |
| 60005660 | WA | MD | Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266969600000",
"number": "1801118468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2325 PLEASANTON CT SE",
"city": "LACEY",
"state": "WA",
"postal_code": "985033410",
"telephone_number": "360-350-0029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2325 PLEASANTON CT SE",
"city": "LACEY",
"state": "WA",
"postal_code": "985033410",
"telephone_number": "360-350-0029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "LYNNE",
"middle_name": "MARIE",
"credential": "ARRT RM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-24",
"last_updated": "2010-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": null,
"license": "108238",
"primary": true
},
{
"code": "2471M2300X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Mammography",
"state": null,
"license": "108238",
"primary": false
},
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "CA",
"license": "00085109",
"primary": false
},
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "WA",
"license": "60005660",
"primary": false
},
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "OR",
"license": "105444",
"primary": false
},
{
"code": "2471M2300X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Mammography",
"state": "CA",
"license": "00085109",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lacey, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.