Individual provider Active NPI

Joan C. Bennett, ARNP

  • Family Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1023199171
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1876602 Issued in FL
Practice address
7305 N. Military Trail
Medicine (111)
West Palm Beach, FL 33410-6400
Phone
(561) 422-6650
Fax
(561) 422-8708
NPI assigned
Oct 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1876602 FL Primary

Addresses

Primary practice location

7305 N. Military Trail
Medicine (111)
West Palm Beach, FL 33410-6400

Mailing address

7305 N. Military Trail
Medicine (111)
West Palm Beach, FL 33410-6400
Phone (561) 422-6650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1876602FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023199171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7305 N. MILITARY TRAIL",
            "address_2": "MEDICINE (111)",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334106400",
            "telephone_number": "561-422-6650",
            "fax_number": "561-422-8708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7305 N. MILITARY TRAIL",
            "address_2": "MEDICINE (111)",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334106400",
            "telephone_number": "561-422-6650",
            "fax_number": "561-422-8708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "JOAN",
        "middle_name": "C.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "1876602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.