Mary J. Jody Benson, RN

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

234315 Issued in CA

Practice address

351 Corrida Dr
San Luis Obispo, CA 93401-5524

Phone

(805) 546-0313

Fax

(805) 782-9107

NPI assigned

Oct 25, 2007

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

Registered Nurse

State licenses

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193270400000",
    "number": "1013196112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 CORRIDA DR",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934015524",
            "telephone_number": "805-546-0313",
            "fax_number": "805-782-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 CORRIDA DR",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934015524",
            "telephone_number": "805-546-0313",
            "fax_number": "805-782-9107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "MARY",
        "middle_name": "J. JODY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-25",
        "last_updated": "2007-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "234315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Miriam Benepe, MD
• Sheri Bengtson
• Nell Bennett, LCSW
• Sarah Bennett
• Duane Benson
• Shelley Benson, PPS
• Laveta Benton, PT
• Kristen Benz, PA-C
• Richard Alan Berg, MD
• Steve Berg, CATC

• Psychiatric/Mental Health Registered Nurse in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Psychiatric/Mental Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.