Active NPI
Laurie B.D. Benkley, NP-C
- Family Nurse Practitioner
- Waukesha, WI
National Provider Identifier
1275831513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4223-033
- Practice address
- 2315 E Moreland Blvd
Westbrook Walk-in Clinic
Waukesha, WI 53186-2939 - Phone
- (262) 532-5800
- Fax
- (262) 532-5760
- NPI assigned
- Mar 10, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 94365-03 | WI | |
| Family Nurse Practitioner | 363LF0000X | 4223-033 | WI | Primary |
Addresses
Primary practice location
2315 E Moreland Blvd
Westbrook Walk-in Clinic
Waukesha, WI 53186-2939
Mailing address
2315 E Moreland Blvd
Westbrook Walk-in Clinic
Waukesha, WI 53186-2939
Phone (262) 532-5800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275831513 | Medicaid | WI |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 94365-03 | WI | MD | Registered Nurse |
| 4223-033 | WI | MD | Family Nurse Practitioner |
Interoperability endpoints
- laurie.benkley@214522098548740.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358812800000",
"number": "1275831513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2315 E MORELAND BLVD",
"address_2": "WESTBROOK WALK-IN CLINIC",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531862939",
"telephone_number": "262-532-5800",
"fax_number": "262-532-5760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2315 E MORELAND BLVD",
"address_2": "WESTBROOK WALK-IN CLINIC",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531862939",
"telephone_number": "262-532-5800",
"fax_number": "262-532-5760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENKLEY",
"first_name": "LAURIE",
"middle_name": "B.D.",
"name_prefix": "Mrs.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-10",
"last_updated": "2013-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "94365-03",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "4223-033",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1275831513",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.