Lisa Benoit, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP30006721 Issued in WA

Practice address

1470 N 16TH Ave
Yakima, WA 98902-1381

Phone

(509) 574-3300

NPI assigned

Oct 24, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Yakima Valley Memorial Physicians

  • General Acute Care Hospital
  • Yakima, WA
  • NPI 1306933940
  Medicare reassignment NPD
• Yakima Valley Memorial Physicians

  • Durable Medical Equipment & Medical Supplies
  • Yakima, WA
  • NPI 1366325870
  NPD
• Yakima Valley Memorial Physicians

  • Multi-Specialty Clinic/Center
  • Yakima, WA
  • NPI 1154930543
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515542400000",
    "number": "1144304692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9787",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989090787",
            "telephone_number": "509-574-3350",
            "fax_number": "509-225-3168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 N 16TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989021381",
            "telephone_number": "509-574-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENOIT",
        "first_name": "LISA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2018-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP30006721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9641598",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Benegas, PHARMD
• Ebelia Benitez
• Ismerai Benitez, CG60662276
• Josefa Erica Benitez, MEDICAL ASSISTANT
• Michael Benitz
• Darian Benskin
• Brandi Berg, ARNP
• Nicole Berg
• Britta Lynn Bergan, MA MHC
• Rosemary Bergeron-Johnson, PAC

• Nurse Practitioner in Yakima, WA
• Providers in Yakima, WA by specialty
• Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; 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.

Verify at the official NPI Registry.