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Deactivated NPI 1215367354 Deactivated / Inactive NPI Male Practitioner

John Bennett , LPN

Licensed Practical Nurse • New Haven, CT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, John Bennett has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 26, 2013
NPI Deactivation Date December 03, 2019
Total Practice Duration ~6 Years of Practice (2013 – 2019)

Professional Overview & Biography Verified Profile Summary

John Bennett, LPN was a registered Licensed Practical Nurse practicing in New Haven, CT. Throughout an active medical career spanning 6 years, John Bennett provided care at the practice location at 1 LONG WHARF DR until profile deactivation on 2019-12-03.

Practice Location & Contact Primary Location

Practice Address

1 Long Wharf Dr
Ste. 10

New Haven, CT 065115991

Telephone 2037814600
Fax 2037814624
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in New Haven, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 35.0 Yrs
Regional Practice Density
54 Specialists

Practicing in New Haven, CT (389 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License CT 37920

An individual 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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Gina Cretella , RN

Registered Nurse

NPI 1003163015

Registered Nurse

Martha Wright , LADC

Counselor - Addiction (Substance Use Disorder)

NPI 1003184565

Licensed Alcohol and Drug Counselor

Robert Lowe , LPN

Licensed Practical Nurse

NPI 1003285131

Licensed Practical Nurse

NPI 1003841321

Doctor of Medicine (M.D.)

Maria Nunley , LPC, LADC

Counselor - Professional

NPI 1013325018

Licensed Professional Counselor, Licensed Alcohol and Drug Counselor

Heidi Clarke , LPN

Licensed Practical Nurse

NPI 1013347145

Licensed Practical Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 03, 2019

Record deactivated on December 03, 2019

NPI Profile Active November 26, 2013

NPI status registered as active in NPPES database

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Updated Practice Location November 26, 2013

Registered at 1 LONG WHARF DR, STE. 10, NEW HAVEN, CT 065115991 (Tel: 2037814600)

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Updated Business Mailing Address November 26, 2013

Registered at 1 LONG WHARF DR, STE. 321, NEW HAVEN, CT 065115991 (Tel: 2037814600)

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Provider Name / Credentials Updated November 26, 2013

Recorded as JOHN BENNETT, LPN

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 26, 2013

Licensed Practical Nurse (License #37920 in CT)

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Initial NPI Registration & Enumeration November 26, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215367354
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 26, 2013
Last Update: November 26, 2013
Deactivation Date: December 03, 2019

Mailing Address

1 Long Wharf Dr, Ste. 321

New Haven, CT 065115991

Phone: 2037814600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.