Active NPI
Barbara E Bennethum, CRNA
- Certified Registered Nurse Anesthetist
- Reading, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN192173L
- Practice address
- Sixth and Spruce Streets
Reading, PA 19612-6052 - Phone
- (610) 988-5089
- Fax
- (610) 988-5135
- NPI assigned
- Sep 6, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN192173L | PA | Primary |
Addresses
Primary practice location
Sixth and Spruce Streets
Reading, PA 19612-6052
Mailing address
1122 Street Rd
Ste 204
Southampton, PA 18966-4218
Phone (215) 949-3100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22-1994560 | Other | PA | HEALTH NET TRICARE |
| 50077117 | Other | PA | CAPITAL BLUE CROSS, KEYSTONE CENTRAL, SENIOR BLUE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 James Dr
Leesport, PA 19533-8866
Phone (484) 284-9500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN192173L | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Medical Group P C | Current | Accepting new patients | |
| Professional Anesthesia Services of North America P.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Integrated Medical Group P C | Current | Accepting new patients | |
| Integrated Medical Group, P.C. | Current | Accepting new patients | |
| Clinical Pain Management Associates, PC | Past | Accepting new patients |
Locations
2310 Highland Ave
Bethlehem, PA 18020
Phone (610) 691-4300
1001 James Dr
Leesport, PA 19533
Phone (215) 237-2103
82 Tunnel Rd
Pottsville, PA 17901
Phone (570) 622-5455
48 Tunnel Rd
Ste 104
Pottsville, PA 17901
Phone (570) 622-5555
48 Tunnel Rd
Ste 205
Pottsville, PA 17901
Phone (570) 622-1400
48 Tunnel Rd
Ste 203
Pottsville, PA 17901
Phone (570) 622-5455
100 E Lancaster Ave
Ste 158
Wynnewood, PA 19096
Phone (484) 206-5800
1280 Broadcasting Rd
Wyomissing, PA 19610
Phone (215) 949-3100
2752 Century Blvd
Wyomissing, PA 19610
Phone (610) 378-8800
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Pottsville, PA
- NPI 1336102268
-
- Anesthesiology Physician
- Bethlehem, PA
- NPI 1972994820
Nurse Anesthetist, Certified Registered
-
- Surgery Physician
- Pottsville, PA
- NPI 1417911819
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Reading, PA
- NPI 1881341303
-
- Pain Medicine Physician
- Fairless Hills, PA
- NPI 1265488308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534291200000",
"number": "1265535397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1122 STREET RD",
"address_2": "STE 204",
"city": "SOUTHAMPTON",
"state": "PA",
"postal_code": "189664218",
"telephone_number": "215-949-3100",
"fax_number": "215-355-6304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SIXTH AND SPRUCE STREETS",
"city": "READING",
"state": "PA",
"postal_code": "196126052",
"telephone_number": "610-988-5089",
"fax_number": "610-988-5135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETHUM",
"first_name": "BARBARA",
"middle_name": "E",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-06",
"last_updated": "2018-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN192173L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET TRICARE",
"identifier": "22-1994560",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS, KEYSTONE CENTRAL, SENIOR BLUE",
"identifier": "50077117",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reading, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.