Cassidy Breanne Bencze, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4704339356 Issued in MI

Practice address

1200 N Telegraph Rd
Pontiac, MI 48341-1032

Phone

(800) 231-1127

NPI assigned

Aug 29, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1245950526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30246 TORRY AVE",
            "city": "FLAT ROCK",
            "state": "MI",
            "postal_code": "481341416",
            "telephone_number": "734-626-3142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N TELEGRAPH RD",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411032",
            "telephone_number": "800-231-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENCZE",
        "first_name": "CASSIDY",
        "middle_name": "BREANNE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704339356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "0",
            "affiliation": "Y",
            "endpointDescription": "0",
            "affiliationName": "Common Ground",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "0",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "0",
            "address_1": "1200 N Telegraph Rd",
            "city": "Pontiac",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483411032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Registered Nurse in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.