Chevelle Antionette Bennett, NURSE (LPN)
Individual provider Active NPI Licensed Practical Nurse · Moraine, OH
NPI 1013406040 · NPPES record last updated Apr 7, 2026
Key facts
- NPI
- 1013406040
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- PN.160731.M-IV (OH)
- Practice address
- 4964 Springboro Pike
Moraine, OH 45439-1940 - Phone
- (937) 856-9576
- NPI assigned
- May 4, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN.160731.M-IV | OH | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearts of Passion HHC LLC | Current |
Accepting new patients |
Locations
4964 Springboro Pike
Moraine, OH 45439
Phone (937) 856-9576
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN.160731.M-IV | OH | Yes |
Addresses
Primary practice location
4964 Springboro Pike
Moraine, OH 45439-1940
Mailing address
4964 Springboro Pike
Moraine, OH 45439-1940
Phone (937) 949-8716
Other providers in Moraine, OH
- Robert Beebe
- Andra L Bell
- Donna Bell
- Sarah Jo Bell
- Vanessa Elaine Bellar
- Courtney Bentley
- Charlesa Marie Benton
- Rebecca Bernstein
- Hailey S Berry
- Kevin K Berry
All providers in Moraine, OH · Licensed Practical Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.