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MRS. MICHELLE BENNETT L.P.N
NPI 1104076892
Licensed Practical Nurse in Medford, NY

Active since September 30, 2008
3115 HORSEBLOCK RD, MEDFORD, NY 11763(631) 730-3000 Get Directions Write a Review

NPPES record last updated: September 30, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Michelle Bennett L.p.n NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MICHELLE BENNETT L.P.N (NPI 1104076892) is an individual licensed practical nurse in Medford, New York, licensed in New York (240224-1) and active in the NPI registry since September 2008.

NPPES Registry Identity

NPI1104076892
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. MICHELLE BENNETTCredential: L.P.N
Location Address3115 HORSEBLOCK RDMedford, NY 11763-2526
Mailing Address77 Barbara LnMiddle Island, NY 11953-1805
Phone(631) 730-3000
Sole ProprietorNo
Enumeration DateSeptember 30, 2008
✔ NPI 1104076892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 240224-1
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
3115 HORSEBLOCK RD, Medford, NY 11763
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KELLY ANN GODBERSON NP
Nurse Practitioner
3115 HORSEBLOCK RD
MEDFORD, NY 11763
Suffolk County (631) 730-3000
SHANNON THAYER MS, CCC-SLP
Speech-Language Pathologist
3115 HORSEBLOCK RD
MEDFORD, NY 11763
Suffolk County (631) 730-3039
KAG PROFESSIONAL NURSE PRACTITIONER IN ADULT HEALTH PLLC
Nurse Practitioner (Adult Health)
3115 HORSEBLOCK RD
MEDFORD, NY 11763
Suffolk County (631) 872-2995
DR. RAHUL GLADWIN MD
Internal Medicine
3115 HORSEBLOCK RD
MEDFORD, NY 11763
Suffolk County (631) 730-3000
SAMANTHA GLEESON RN
Registered Nurse
3115 HORSEBLOCK RD
MEDFORD, NY 11763
Suffolk County (631) 730-3000
NURSING CARE CENTER AT MEDFORD INC
Skilled Nursing Facility
3115 HORSEBLOCK RD
MEDFORD, NY 11763
Suffolk County (631) 730-3016

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Bennett's NPI number?

The NPI number for Michelle Bennett is 1104076892. It was assigned to this individual provider in the NPPES registry on September 30, 2008.

Where is Michelle Bennett located?

Michelle Bennett practices at 3115 Horseblock Rd, Medford, NY 11763. The listed phone number is (631) 730-3000.

What is Michelle Bennett's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Michelle Bennett was last updated on September 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.