Diane Benevent, LPN

Key facts

NPI

1194084004

Entity type

Individual (NPI type 1)

Primary specialty

Licensed Practical Nurse 164W00000X

License

121258-1 (NY)

Practice address

71 Langdon PL
Lynbrook, NY 11563-2415

Phone

(516) 593-0857

NPI assigned

May 11, 2012

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 11, 2012.

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336694400000",
    "number": "1194084004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 LANGDON PL",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632415",
            "telephone_number": "516-593-0857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 LANGDON PL",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632415",
            "telephone_number": "516-593-0857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENEVENT",
        "first_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-11",
        "last_updated": "2012-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "121258-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Lynbrook, NY · Licensed Practical Nurse in New York