Demetra Bennett, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN9164847 Issued in FL

Practice address

930 Marcum Rd Ste 5
Lakeland, FL 33809-4308

Phone

(863) 940-4886

Fax

(863) 816-5769

NPI assigned

May 17, 2006

Last updated

Sep 9, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Nurse Practitioner

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: demetrabennett@demetrabennett.kareodirect.com

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.

• Demetra Bennett Arnp LLC

  • Primary Care Clinic/Center
  • Lakeland, FL
  • NPI 1992022313
  Medicare reassignment NPD Authorized official
• Emergency Physician Specialists Inc

  • Emergency Medicine Physician
  • Davenport, FL
  • NPI 1912973850
  NPD (past)
• Emergency Services of Zephyrhills PA

  • Emergency Medicine Physician
  • Dade City, FL
  • NPI 1265631097
  NPD (past)
• Jr Medical Group LLC

  dba Late Hours Urgent Care Center

  • Family Nurse Practitioner
  • Riverview, FL
  • NPI 1447029632
  NPD (past)
• Qed Medical Solutions, LLC

  • Emergency Medicine Physician
  • Port Charlotte, FL
  • NPI 1194880369
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1184676025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3376 FIDDLE LEAF WAY",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338113001",
            "telephone_number": "863-602-8174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 MARCUM RD STE 5",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338094308",
            "telephone_number": "863-940-4886",
            "fax_number": "863-816-5769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "DEMETRA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9164847",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9164847",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ARNP9164847",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306599500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin E. Lippmann, D.O., P.a.
• Alicia S Benjamin-Stone
• Christopher Benka, R.PH., PHARM.D.
• Catherine Abbie Benna-Mallette, CRNA
• Amanda Bennett, ATC, LAT, PES, EMT-B
• Miah Bennett, MSW
• Sara Ann Bennett
• Cardasha Benson
• Tiffany Benson
• Thomas Charles Bergen, PH D

• Family Nurse Practitioner in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.