Individual provider Active NPI

Rebecca Ireland Benefield, M.ED., CCC-SLP

  • Speech-Language Pathologist
  • Cordova, TN
National Provider Identifier
1144598335
Registry record updated Dec 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3351 Issued in TN
Practice address
1181 Vickery LN
Suite 102
Cordova, TN 38016-0632
Phone
(901) 729-7773
Fax
(901) 729-7774
NPI assigned
Dec 2, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3351 TN Primary

Addresses

Primary practice location

1181 Vickery LN
Suite 102
Cordova, TN 38016-0632

Mailing address

1181 Vickery LN
Suite 102
Cordova, TN 38016-0632
Phone (901) 729-7773

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)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
3351TNMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322784000000",
    "number": "1144598335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1181 VICKERY LN",
            "address_2": "SUITE 102",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380160632",
            "telephone_number": "901-729-7773",
            "fax_number": "901-729-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1181 VICKERY LN",
            "address_2": "SUITE 102",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380160632",
            "telephone_number": "901-729-7773",
            "fax_number": "901-729-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENEFIELD",
        "first_name": "REBECCA",
        "middle_name": "IRELAND",
        "credential": "M.ED., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-02",
        "last_updated": "2011-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "3351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.