Traci Benson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN138045 Issued in OH

Practice address

4795 Walford Rd
Apt # 15
Warrensville Heights, OH 44128-5125

Phone

(216) 324-8286

NPI assigned

Oct 20, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287532800000",
    "number": "1174833412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4795 WALFORD RD",
            "address_2": "APT # 15",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441285125",
            "telephone_number": "216-324-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4795 WALFORD RD",
            "address_2": "APT # 15",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441285125",
            "telephone_number": "216-324-8286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "TRACI",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN138045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Bellanca
• Lilli Benck, DC
• Natalie Christine Bendure, OTR/L
• Garreth Maria Benham
• Michael A Bennett, APRN
• Kaylynn Benway
• Patricia Lynn Berger, M.ED., LPCC-S
• Amanda Berlekamp, DO
• Zachary Cole Bernhard
• Korrie B Beverley-Waters, D.O.

• Licensed Practical Nurse in Warrensville Heights, OH
• Providers in Warrensville Heights, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.