Nicholas Matthew Bennett-Santos, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

152121 Issued in OH

Practice address

2076 Wendys Dr
Apt 37
Columbus, OH 43220-2420

Phone

(419) 420-9416

NPI assigned

Feb 22, 2013

Last updated

Jul 30, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1361491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1295075596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4914 REED RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432203166",
            "telephone_number": "614-218-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2076 WENDYS DR",
            "address_2": "APT 37",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202420",
            "telephone_number": "419-420-9416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT-SANTOS",
        "first_name": "NICHOLAS",
        "middle_name": "MATTHEW",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-22",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "152121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Benner, RN
• Nicholas Andrew Benner, D.O.
• Randall W Benner, PA-C
• Katelyn Renee Bennett Levi, DO
• Alethea Bennett-Baker, PHD
• Adam Bennett
• Alexis Bennett
• Alyssa Bennett
• Arieonna Bennett
• Benjamin Bennett

• Licensed Practical Nurse in Columbus, OH
• Providers in Columbus, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.