Active NPI
Christina L Bennett, RN, ANP, ACNP
- Nurse Practitioner
- Kingwood, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP111656
- Practice address
- 22999 Highway 59 N
Kingwood, TX 77339-4412 - Phone
- (281) 348-8696
- NPI assigned
- Jan 28, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 542986 | TX | |
| Nurse Practitioner | 363L00000X | AP111656 | TX | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | 542986 | TX |
Addresses
Primary practice location
22999 Highway 59 N
Kingwood, TX 77339-4412
Mailing address
4907 Creek Shadows Dr
Humble, TX 77339-1241
Phone (713) 540-7690
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP111656 | TX | MD | Nurse Practitioner |
| 542986 | TX | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialty Associates of West Houston PLLC | Current | Accepting new patients |
Locations
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
1140 Business Center Dr
Ste 490
Houston, TX 77043
Phone (713) 932-1247
22999 Highway 59 N
Kingwood, TX 77339
Phone (281) 348-3322
15200 Southwest Fwy
Ste 290
Sugar Land, TX 77478
Phone (281) 980-2010
Interoperability endpoints
- christina.bennett@hca9.eclinicaldirectplus.com
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Houston, TX
- NPI 1699062349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646352000000",
"number": "1104897149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4907 CREEK SHADOWS DR",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773391241",
"telephone_number": "713-540-7690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22999 HIGHWAY 59 N",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773394412",
"telephone_number": "281-348-8696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "CHRISTINA",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "RN, ANP, ACNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-28",
"last_updated": "2022-03-04",
"certification_date": "2022-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "542986",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP111656",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TX",
"license": "542986",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingwood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.