Nannette Bennett

Primary specialty

Other TechnicianTaxonomy code 247200000X

Practice address

2075 Jordan Ave
Juneau, AK 99801-8095

Phone

(907) 789-7610

NPI assigned

Aug 22, 2019

Sex

Female

Sole proprietor

No

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, last updated by the provider on Aug 22, 2019.

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1811544992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6590 GLACIER HWY LOT 179",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 JORDAN AVE",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998018095",
            "telephone_number": "907-789-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "NANNETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-22",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mignon F Benjamin, MD
• Ashley Bennett
• Denise Bennett
• Leah Bennett
• Michael J Bennett, O.D
• Christie Bentz, PA-C
• Stephen Berger
• Tristan Berkey
• Mona Bibb, CTT
• Bicknell Inc

• All providers in Juneau, AK
• Other Technician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.