Shannon Marie Bentley, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F346361-01 Issued in NY

Practice address

2550 Delaware Ave
Buffalo, NY 14216-1721

Phone

(716) 884-0230

Fax

(716) 332-3543

NPI assigned

Sep 30, 2020

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 names 1

• Shannon Marie Hurst Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: shannon.bentley@4277.securemail.prognocis.com
• Direct secure messaging: shannonbentleyfnp@trinitypediatrics.medentdirect.com

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.

• Delaware Pediatric Associates

  • Pediatrics Physician
  • Buffalo, NY
  • NPI 1255604583
  NPD (past)
• General Physician, PC

  • General Practice Physician
  • Dunkirk, NY
  • NPI 1093959322
  NPD (past)
• Trinity Pediatrics LLC

  • Primary Care Clinic/Center
  • Orchard Park, NY
  • NPI 1467997262
  NPD (past)

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1104433499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 DELAWARE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142161721",
            "telephone_number": "716-884-0230",
            "fax_number": "716-332-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 DELAWARE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142161721",
            "telephone_number": "716-884-0230",
            "fax_number": "716-332-3543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTLEY",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-30",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F346361-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "HURST",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shirl Bennett, LPN
• April Denise Benson, LPN
• Hannah Benson
• Katie L Benson
• Mercedes Fay Benson, LMSW
• Benton Property Management Co., LLC
• Adam Benware, MSW
• Christina Marie Benz
• Matthew Domenic Berardi
• Roslyn Ann Berbary

• Nurse Practitioner in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.