Shawnette Bennett

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

6241471 Issued in NY

Practice address

90 Locustwood Blvd
Elmont, NY 11003-1411

Phone

(954) 415-4318

Fax

(954) 415-4318

NPI assigned

Mar 28, 2011

Last updated

Mar 28, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1301270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301270400000",
    "number": "1184913337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 LOCUSTWOOD BLVD",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110031411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 LOCUSTWOOD BLVD",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110031411",
            "telephone_number": "954-415-4318",
            "fax_number": "954-415-4318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "SHAWNETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-28",
        "last_updated": "2011-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "6241471",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN 9275148",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boaz Ben-Jacob
• Joseph Frank Benincasa, RPH
• Laura M Benincasa, RPH
• Liesel D Benjamin, MSN WHNP
• Rosalie Bennett, RN
• Damian Anthony Benons, PT
• Teddy Bernard
• Sybille Bertrand
• Stephanie Berube, L.A C
• Best Care Podiatry, PLLC

• Registered Nurse in Elmont, NY
• Providers in Elmont, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; 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.