Individual provider Active NPI

Karen Webb Bennett, PHD, RD, MSN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Durham, NC
National Provider Identifier
1164650420
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5005937 Issued in NC
Practice address
5306 NC Highway 55 Ste 105
Durham, NC 27713-7812
Phone
(919) 457-1517
Fax
(919) 363-7697
NPI assigned
Jun 25, 2009
Last updated
Nov 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 191449 NC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 200950062NP OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1323 AK
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5005937 NC Primary

Addresses

Primary practice location

5306 NC Highway 55 Ste 105
Durham, NC 27713-7812

Mailing address

110 W Walker Ave
Asheboro, NC 27203-6760
Phone (336) 633-7000

Other practice location 1

110 W Walker Ave
Asheboro, NC 27203-6760
Phone (336) 633-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20130129000147 NC Practitioner - Nurse Practitioner 6103979232 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1323AKMDPsychiatric/Mental Health Nurse Practitioner
200950062NPORMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Health and Education Partners PLLC CurrentSince Nov 8, 2024 Accepting new patients
New Dawn Psychiatric Services, PLLC CurrentSince Aug 4, 2019 Accepting new patients
Clientfirst of NC, LLC Psychiatric/Mental Health CurrentSince Jun 24, 2019 Accepting new patients
Daymark Recovery Services, Inc. CurrentSince Nov 26, 2012 Accepting new patients
Waynesboro Family Clinic CurrentSince Mar 8, 2017 Accepting new patients
Anesthesia Services Associates, PLLC PastSince Aug 4, 2019 Accepting new patients
Wayne Cares Inc. Past Accepting new patients

Locations

5306 NC Highway 55
Ste 1
Durham, NC 27713
Phone (919) 457-1517

5306 NC Highway 55
Ste 105
Durham, NC 27713
Phone (919) 457-1517

1706 Wayne Memorial Dr
Goldsboro, NC 27534
Phone (919) 734-6676

201 N Spence Ave
Goldsboro, NC 27534
Phone (252) 686-8091

2719 Graves Dr
Ste 5
Goldsboro, NC 27534
Phone (919) 330-4367

111 Airport Rd
Kinston, NC 28501
Phone (252) 527-2390

1104A S Main St
Lexington, NC 27292
Phone (336) 252-2450

1807 E Innes St
Salisbury, NC 28146
Phone (704) 633-3616

2129 Statesville Blvd
Salisbury, NC 28147
Phone (704) 633-3616

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1164650420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W WALKER AVE",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272036760",
            "telephone_number": "336-633-7000",
            "fax_number": "336-625-3817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5306 NC HIGHWAY 55 STE 105",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277137812",
            "telephone_number": "919-457-1517",
            "fax_number": "919-363-7697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 W Walker Ave",
            "address_purpose": "LOCATION",
            "city": "Asheboro",
            "state": "NC",
            "postal_code": "272036760",
            "country_code": "US",
            "telephone_number": "336-633-7000",
            "fax_number": "336-625-3817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "KAREN",
        "middle_name": "WEBB",
        "name_prefix": "Dr.",
        "credential": "PHD, RD, MSN, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "191449",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "200950062NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AK",
            "license": "1323",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5005937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.