Kimberly Bennington

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1818 W 3Rd St
Dayton, OH 45417-2537

Phone

(937) 263-8176

NPI assigned

Oct 16, 2018

Reactivated

Aug 1, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Paramount Development Association

  • Community/Behavioral Health Agency
  • Dayton, OH
  • NPI 1659640167
  NPD (past)
• Paramount Development Association

  • General Practice Physician
  • Dayton, OH
  • NPI 1689075277
  NPD (past)

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1295201473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 W 3RD ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454172537",
            "telephone_number": "937-263-8176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 W 3RD ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454172537",
            "telephone_number": "937-263-8176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNINGTON",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-16",
        "last_updated": "2025-08-01",
        "deactivation_date": "2025-06-13",
        "reactivation_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "311765711",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kent Stuart Bennett, DO, PHARMD, MPH
• Shelbie Ann Bennett, DO
• Steven Bennett, DO
• Dawn Bennington
• Donald Joe Bennington, CDCA
• Abram Emmanuel Benson
• Abreonia Benson, LPN
• Heather Benson, RN
• Henry E Benson
• Latrisha Benson

• Case Manager/Care Coordinator in Dayton, OH
• Providers in Dayton, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.