Individual provider Active NPI

Bridget A Benware, MACCCSLP

  • Speech-Language Pathologist
  • Plattsburgh, NY
National Provider Identifier
1093960593
Registry record updated Nov 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
013172 Issued in NY
Practice address
185 Margaret St
Suite 1000
Plattsburgh, NY 12901-1837
Phone
(518) 561-6361
Fax
(518) 561-6367
NPI assigned
Nov 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 013172 NY Primary

Addresses

Primary practice location

185 Margaret St
Suite 1000
Plattsburgh, NY 12901-1837

Mailing address

185 Margaret St
Suite 1000
Plattsburgh, NY 12901-1837
Phone (518) 561-6361

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

State licenses

LicenseStateTypeSpecialty
013172NYMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227571200000",
    "number": "1093960593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 MARGARET ST",
            "address_2": "SUITE 1000",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011837",
            "telephone_number": "518-561-6361",
            "fax_number": "518-561-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 MARGARET ST",
            "address_2": "SUITE 1000",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011837",
            "telephone_number": "518-561-6361",
            "fax_number": "518-561-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENWARE",
        "first_name": "BRIDGET",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MACCCSLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-25",
        "last_updated": "2008-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "013172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; 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.