Individual provider Active NPI

Marqui Lynelle Benavides, RDN, LD

  • Registered Dietitian
  • Lubbock, TX
National Provider Identifier
1104625144
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT87720 Issued in TX
Practice address
4206 17TH St Apt 3
Lubbock, TX 79416-5824
Phone
(512) 773-4452
NPI assigned
Mar 12, 2025
Last updated
Mar 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT87720 TX Primary

Addresses

Primary practice location

4206 17TH St Apt 3
Lubbock, TX 79416-5824

Mailing address

4206 17TH St Apt 3
Lubbock, TX 79416-5824
Phone (512) 773-4452

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO, AZ, CA, AR, IA, WA7 enrollments

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20250317003418 TX Practitioner - Registered Dietitian Or Nutrition Professional 9830611011 Reassigns benefits to 1 organization
I20250317003850 CO Practitioner - Registered Dietitian Or Nutrition Professional 9830611011 Reassigns benefits to 1 organization
I20250321001386 AZ Practitioner - Registered Dietitian Or Nutrition Professional 9830611011 Reassigns benefits to 1 organization
I20260129000805 CA Practitioner - Registered Dietitian Or Nutrition Professional 9830611011 Reassigns benefits to 1 organization
I20260216002095 AR Practitioner - Registered Dietitian Or Nutrition Professional 9830611011 Reassigns benefits to 1 organization
I20260410002637 IA Practitioner - Registered Dietitian Or Nutrition Professional 9830611011 Reassigns benefits to 1 organization
I20260606000162 WA Practitioner - Registered Dietitian Or Nutrition Professional 9830611011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5410 Maryland Way
Suite 400
Brentwood, TN 37027-8087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Monogram Health Professional Services of Colorado, PC CurrentSince Mar 13, 2025 Accepting new patients
Monogram Health Professional Services PC CurrentSince Mar 17, 2025 Accepting new patients
Monogram Health Professional Services of California PC CurrentSince Dec 14, 2025 Accepting new patients
Monogram Health Professional Services of Texas PLLC CurrentSince Mar 13, 2025 Accepting new patients
Monogram Health Professional Services PC CurrentSince Feb 2, 2026 Accepting new patients
Monogram Health Professional Services PC CurrentSince Mar 17, 2025 Accepting new patients

Locations

2700 Corporate Dr
Ste 200
Birmingham, AL 35242
Phone (205) 314-4760

1202 NE McClain Rd
Bentonville, AR 72712
Phone (479) 278-4323

60 E Rio Salado Pkwy
Ste 300
Tempe, AZ 85281

4401 Atlantic Ave
Ste 200
Long Beach, CA 90807
Phone (562) 984-2038

8354 E Northfield Blvd
Unit 3700
Denver, CO 80238
Phone (303) 390-0208

5410 Maryland Way
Ste 400
Brentwood, TN 37027

708 Main St
Fl 10
Houston, TX 77002
Phone (832) 584-1436

1220 Main St
Ste 400
Vancouver, WA 98660
Phone (360) 859-4886

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1741737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1104625144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4206 17TH ST APT 3",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794165824",
            "telephone_number": "512-773-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4206 17TH ST APT 3",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794165824",
            "telephone_number": "512-773-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENAVIDES",
        "first_name": "MARQUI",
        "middle_name": "LYNELLE",
        "credential": "RDN, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT87720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.