Individual provider Active NPI

Jasmin Benitez, CNP

  • Family Nurse Practitioner
  • Spring, TX
National Provider Identifier
1043082837
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1105695 Issued in TX
Practice address
18607 Kuykendahl Rd
Spring, TX 77379-3453
Phone
(281) 370-1122
NPI assigned
Oct 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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 1105695 TX Primary

Addresses

Primary practice location

18607 Kuykendahl Rd
Spring, TX 77379-3453

Mailing address

18607 Kuykendahl Rd
Spring, TX 77379-3453
Phone (281) 370-1122

Other practice location 1

25201 Kuykendahl Rd Ste 650
Tomball, TX 77375-3352
Phone (281) 370-1122

Other practice location 2

10292 Fm 1097 Rd W
Willis, TX 77318-4905
Phone (281) 370-1122

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)
Not enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1105695TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shams Nandwani, MD, PA PastSince Oct 29, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1043082837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18607 KUYKENDAHL RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773793453",
            "telephone_number": "281-370-1122",
            "fax_number": "281-370-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18607 KUYKENDAHL RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773793453",
            "telephone_number": "281-370-1122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25201 Kuykendahl Rd Ste 650",
            "address_purpose": "LOCATION",
            "city": "Tomball",
            "state": "TX",
            "postal_code": "773753352",
            "country_code": "US",
            "telephone_number": "281-370-1122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10292 Fm 1097 Rd W",
            "address_purpose": "LOCATION",
            "city": "Willis",
            "state": "TX",
            "postal_code": "773184905",
            "country_code": "US",
            "telephone_number": "281-370-1122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENITEZ",
        "first_name": "JASMIN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1105695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.