Active NPI
Marqui Lynelle Benavides, RDN, LD
- Registered Dietitian
- Lubbock, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT87720
- Practice address
- 4206 17TH St Apt 3
Lubbock, TX 79416-5824 - Phone
- (512) 773-4452
- NPI assigned
- Mar 12, 2025
- Last updated
- Mar 12, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, WA
Enrollment records 7
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monogram Health Professional Services of Colorado, PC | Current | Accepting new patients | |
| Monogram Health Professional Services PC | Current | Accepting new patients | |
| Monogram Health Professional Services of California PC | Current | Accepting new patients | |
| Monogram Health Professional Services of Texas PLLC | Current | Accepting new patients | |
| Monogram Health Professional Services PC | Current | Accepting new patients | |
| Monogram Health Professional Services PC | Current | 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.
-
- Nephrology Physician
- Orange, CA
- NPI 1245950757
-
- Nephrology Physician
- Denver, CO
- NPI 1023733359
-
- Nephrology Physician
- Brentwood, TN
- NPI 1396481255
TX
-
- Nephrology Physician
- Davenport, IA
- NPI 1285344150
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.