Individual provider Active NPI

Martina Renate Benson, CPM, RN

  • Midwife
  • Memphis, TN
National Provider Identifier
1215169644
Registry record updated Aug 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
16 Issued in TN
Practice address
1000 S Cooper St
Suite 229
Memphis, TN 38104-5611
Phone
(901) 275-2907
NPI assigned
Aug 18, 2009
Last updated
Aug 18, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN0000167525 TN
Midwife 176B00000X 16 TN Primary

Addresses

Primary practice location

1000 S Cooper St
Suite 229
Memphis, TN 38104-5611

Mailing address

1000 S Cooper St
Suite 229
Memphis, TN 38104-5611

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN0000167525TNMDRegistered Nurse
16TNMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250553600000",
    "number": "1215169644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S COOPER ST",
            "address_2": "SUITE 229",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381045611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S COOPER ST",
            "address_2": "SUITE 229",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381045611",
            "telephone_number": "901-275-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "MARTINA",
        "middle_name": "RENATE",
        "name_prefix": "Mrs.",
        "credential": "CPM, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-18",
        "last_updated": "2009-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN0000167525",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "TN",
            "license": "16",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; 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.