Active NPI
Eileen Bennett
- Medical-Surgical Registered Nurse
- Bensalem, PA
National Provider Identifier
1215526850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical-Surgical Registered Nurse
- License
- RN643202
- Practice address
- 6511 Neshaminy Valley Dr
Bensalem, PA 19020-1834 - Phone
- (215) 752-7081
- NPI assigned
- Jan 17, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | RN643202 | PA | Primary |
Addresses
Primary practice location
6511 Neshaminy Valley Dr
Bensalem, PA 19020-1834
Mailing address
6511 Neshaminy Valley Dr
Bensalem, PA 19020-1834
Phone (215) 630-0478
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN643202 | PA | MD | Medical-Surgical Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610841600000",
"number": "1215526850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6511 NESHAMINY VALLEY DR",
"city": "BENSALEM",
"state": "PA",
"postal_code": "190201834",
"telephone_number": "215-630-0478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6511 NESHAMINY VALLEY DR",
"city": "BENSALEM",
"state": "PA",
"postal_code": "190201834",
"telephone_number": "215-752-7081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "EILEEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-17",
"last_updated": "2021-01-17",
"certification_date": "2021-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "PA",
"license": "RN643202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bensalem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.