Active NPI
Jessica Benitez, AGPCNP-BC
- Adult Health Nurse Practitioner
- Concord, NH
National Provider Identifier
1053737080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 4704272358
- Practice address
- 239 Pleasant St
Concord, NH 03301-7504 - Phone
- (603) 224-6561
- NPI assigned
- Mar 14, 2014
- Last updated
- Jul 28, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 4704272358 | MI | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | 4704272358 | MI |
Addresses
Primary practice location
239 Pleasant St
Concord, NH 03301-7504
Mailing address
7 Cabernet Dr
#3
Concord, NH 03303-1042
Phone (313) 330-0776
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
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438041600000",
"number": "1053737080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 CABERNET DR",
"address_2": "#3",
"city": "CONCORD",
"state": "NH",
"postal_code": "033031042",
"telephone_number": "313-330-0776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "239 PLEASANT ST",
"city": "CONCORD",
"state": "NH",
"postal_code": "033017504",
"telephone_number": "603-224-6561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENITEZ",
"first_name": "JESSICA",
"credential": "AGPCNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-14",
"last_updated": "2015-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MI",
"license": "4704272358",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MI",
"license": "4704272358",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.