Individual provider Active NPI

Evelyn Louise Richardson Bennett

  • Case Manager/Care Coordinator
  • Los Angeles, CA
National Provider Identifier
1235423476
Registry record updated Jun 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
3751 Stocker St
Los Angeles, CA 90008-5101
Phone
(323) 298-3690
Fax
(323) 296-4079
NPI assigned
Jun 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

3751 Stocker St
Los Angeles, CA 90008-5101

Mailing address

3751 Stocker St
Los Angeles, CA 90008-5101
Phone (323) 298-3690

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

NPI Registry JSON

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307318400000",
    "number": "1235423476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3751 STOCKER ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900085101",
            "telephone_number": "323-298-3690",
            "fax_number": "323-296-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3751 STOCKER ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900085101",
            "telephone_number": "323-298-3690",
            "fax_number": "323-296-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON BENNETT",
        "first_name": "EVELYN",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-06",
        "last_updated": "2011-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.