Active NPI
Lutricia Freeman Bennett, FNP
- Nurse Practitioner
- Gastonia, NC
National Provider Identifier
1124234513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5002913
- Practice address
- 2240 Remount Rd
Gastonia, NC 28054-4725 - Phone
- (704) 671-7483
- Fax
- (704) 671-7482
- NPI assigned
- May 15, 2007
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5002913 | NC | Primary |
Addresses
Primary practice location
2240 Remount Rd
Gastonia, NC 28054-4725
Mailing address
2240 Remount Rd
Gastonia, NC 28054-4725
Phone (704) 671-7483
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cogent Healthcare of North Carolina, PC | Nurse Practitioner | Past | Accepting new patients |
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
- Rocky Mount, NC
- NPI 1548207483
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287619200000",
"number": "1124234513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2240 REMOUNT RD",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280544725",
"telephone_number": "704-671-7483",
"fax_number": "704-671-7482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2240 REMOUNT RD",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280544725",
"telephone_number": "704-671-7483",
"fax_number": "704-671-7482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "LUTRICIA",
"middle_name": "FREEMAN",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2010-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5002913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.