Individual provider Active NPI

Benita Lanham, ANP

  • Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1194735308
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
095187 Issued in MO
Practice address
1801 Park 270 Dr Ste 150
Saint Louis, MO 63146-4038
Phone
(314) 682-3400
NPI assigned
Aug 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 095187 MO Primary

Addresses

Primary practice location

1801 Park 270 Dr Ste 150
Saint Louis, MO 63146-4038

Mailing address

660 S Euclid Ave
C B 8058
Saint Louis, MO 63110-1010
Phone (314) 362-1700

Other practice location 1

1 Barnes Jewish Hospital Plz
Saint Louis, MO 63110-1003
Phone (314) 362-1700

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address benita.austin@vitas.com Vitas Healthcare Corporation Midwest
Direct Messaging Address benita.austin@vitas.com
Direct Messaging Address caroline.hultz@vitas.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
095187MOMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1194735308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S EUCLID AVE",
            "address_2": "C B 8058",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101010",
            "telephone_number": "314-362-1700",
            "fax_number": "314-362-9878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 PARK 270 DR STE 150",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464038",
            "telephone_number": "314-682-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Barnes Jewish Hospital Plz",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631101003",
            "country_code": "US",
            "telephone_number": "314-362-1700",
            "fax_number": "314-362-9878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANHAM",
        "first_name": "BENITA",
        "name_prefix": "Ms.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2023-11-27",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "095187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "benita.austin@vitas.com",
            "affiliation": "Y",
            "affiliationName": "Vitas Healthcare Corporation Midwest",
            "address_1": "1801 Park 270 Dr Ste 150",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631464038",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "benita.austin@vitas.com",
            "affiliation": "N",
            "address_1": "1801 Park 270 Dr Ste 150",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631464038",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "caroline.hultz@vitas.com",
            "affiliation": "N",
            "address_1": "1801 Park 270 Dr Ste 150",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631464038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.