Active NPI
Courtney Elizabeth Benedict, CNM
- Advanced Practice Midwife
- San Mateo, CA
National Provider Identifier
1174748552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 1482
- Practice address
- 2211 Palm Ave
San Mateo, CA 94403-1814 - Phone
- (650) 574-5823
- Fax
- (650) 574-3894
- NPI assigned
- Apr 13, 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 1482 | CA | Primary |
Addresses
Primary practice location
2211 Palm Ave
San Mateo, CA 94403-1814
Mailing address
2211 Palm Ave
San Mateo, CA 94403-1814
Phone (650) 574-5823
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1482 | CA | MD | Advanced Practice Midwife |
Interoperability endpoints
- courtney.benedictcnm.p1@direct.ppnorcal.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174748552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2211 PALM AVE",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944031814",
"telephone_number": "650-574-5823",
"fax_number": "650-574-3894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 PALM AVE",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944031814",
"telephone_number": "650-574-5823",
"fax_number": "650-574-3894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENEDICT",
"first_name": "COURTNEY",
"middle_name": "ELIZABETH",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "CA",
"license": "1482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.