Mary P Bennett, PHD, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5351P Issued in KY

Practice address

1906 College Heights Bolv #11036
Wku School of Nursing Academic Complex Room 113 D
Bowling Green, KY 42101-1036

Phone

(270) 745-3590

Fax

(270) 745-3392

NPI assigned

Mar 8, 2006

Last updated

Aug 2, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280707200000",
    "number": "1063489086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 COLLEGE HEIGHTS BOLV #11036",
            "address_2": "WKU SCHOOL OF NURSING ACADEMIC COMPLEX ROOM 113 D",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011036",
            "telephone_number": "270-745-3590",
            "fax_number": "270-745-3392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 COLLEGE HEIGHTS BOLV #11036",
            "address_2": "WKU SCHOOL OF NURSING ACADEMIC COMPLEX ROOM 113 D",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011036",
            "telephone_number": "270-745-3590",
            "fax_number": "270-745-3392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "MARY",
        "middle_name": "P",
        "name_prefix": "Prof.",
        "credential": "PHD, ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2010-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "5351P",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71001945A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benchmark Physical Therapy of Ky LLC
• Benchmark Physical Therapy of Ky LLC
• James Bender, LPA
• Ashley J Bennett, M.D.
• Kelly M Bennett, M.D.
• Patrick J. Bennett, M.D.
• Charles E. Benneyworth, M.D.
• Laura Chinn Benningfield
• Alyssa D Benton
• David Anthony Bergamini, M.D.

• Family Nurse Practitioner in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; 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.