Individual provider Active NPI

Tammy M Lockett-Benjamin, MD

  • Obstetrics & Gynecology Physician
  • Centreville, VA
National Provider Identifier
1164414280
Registry record updated Jul 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101237687 Issued in VA
Practice address
13880 Braddock Rd
Ste 307
Centreville, VA 20121-2459
Phone
(703) 968-0015
Fax
(703) 968-0017
NPI assigned
Aug 16, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101237687 VA Primary

Addresses

Primary practice location

13880 Braddock Rd
Ste 307
Centreville, VA 20121-2459

Mailing address

13880 Braddock Rd
Ste 307
Centreville, VA 20121-2459
Phone (703) 968-0015

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
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
DHP of Potomac PC Obstetrics & Gynecology PastSince Jun 1, 2015 Accepting new patients
OB GYN Associates at Long Island College Hospital Obstetrics & Gynecology Past Accepting new patients
Delphi OB GYN Group LLC Obstetrics & Gynecology Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185148800000",
    "number": "1164414280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13880 BRADDOCK RD",
            "address_2": "STE 307",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212459",
            "telephone_number": "703-968-0015",
            "fax_number": "703-968-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13880 BRADDOCK RD",
            "address_2": "STE 307",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212459",
            "telephone_number": "703-968-0015",
            "fax_number": "703-968-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKETT-BENJAMIN",
        "first_name": "TAMMY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2007-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101237687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; 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.