Amber E Benner, MS, RD/RDN, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LN004521 Issued in NC

Practice address

1660 Brook Run Dr
Raleigh, NC 27614-9732

Phone

(919) 500-3231

NPI assigned

Feb 20, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orange CountyGroup PAC ID 8325069008, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Orange County

  • State or Local Public Health Clinic/Center
  • Hillsborough, NC
  • NPI 1760576722

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD
• Orange County Government

  • Community Health Clinic/Center
  • Hillsborough, NC
  • NPI 1689753931
  NPD

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

{
    "created_epoch": "1613779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613779200000",
    "number": "1104419134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 BROOK RUN DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276149732",
            "telephone_number": "919-500-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 BROOK RUN DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276149732",
            "telephone_number": "919-500-3231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNER",
        "first_name": "AMBER",
        "middle_name": "E",
        "credential": "MS, RD/RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-20",
        "last_updated": "2021-02-20",
        "certification_date": "2021-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "LN004521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA BOARD OF DIETETICS/NUTRITION",
            "identifier": "L004521",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISSION ON DIETETIC REGISTRATION",
            "identifier": "86039138",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin Boyles DDS PA
• Benjamin Tosky, D.C., P.a.
• Ann Marie Benjamin, PT
• Jenna Nicole Benjamin, MPT
• Nana Dwemoh Benneh-Hans, M.D.
• Abigail Bennett, PA-C, LAT, ATC
• Adam J Bennett, MD
• Anna Kristine Bennett, CRNP, PMHNP-BC
• Brian Charles Bennett, M.D.
• Brianna Kay Bennett

• Registered Dietitian in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.