Keirstin Bennett, RN
Individual provider Active NPI Critical Care Medicine Registered Nurse · Moriarty, NM
NPI 1285583880 · NPPES record last updated Jan 26, 2026
Key facts
- NPI
- 1285583880
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Critical Care Medicine Registered Nurse 163WC0200X
- License
- 72715 (NM)
- Practice address
- 5 Toledo Ave
Moriarty, NM 87035-5520 - Phone
- (505) 542-9795
- NPI assigned
- Jan 26, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72715 | NM | MD | Critical Care Medicine Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 72715 | NM | Yes |
Addresses
Primary practice location
5 Toledo Ave
Moriarty, NM 87035-5520
Mailing address
5 Toledo Ave
Moriarty, NM 87035-5520
Other providers in Moriarty, NM
- Lynn Atwood
- Dorothy Eve Baker
- Linda Jo Banda
- Melody Michelle Benavidez
- Gabrielle Elizabeth Benitez
- Kimberly A Birch
- Nicholas J. Black
- Chantala Booth
- Kathleen Brown
- Shannon Marie Burke
All providers in Moriarty, NM · Critical Care Medicine Registered Nurse in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.