Bennett Supply and Services LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

BENNETT SUPPLY AND SERVICES LLC

Practice address

245 N Waco St Ste 220
Wichita, KS 67202-1102

Phone

(316) 722-2138

Fax

(833) 464-2530

NPI assigned

Mar 19, 2024

Last updated

Feb 10, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dawnele D Taylor, APRNNPI 1215186879

Title

Owner

Phone

(316) 393-5256

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dawnele Diane Taylor, ARNP

  • Family Nurse Practitioner
  • Wichita, KS
  • NPI 1215186879
  Medicare reassignment NPD Authorized official
• Ashley A Eastman, NP

  • Nurse Practitioner
  • Wichita, KS
  • NPI 1851986822
  Medicare reassignment NPD
• Brenda Ann Henning, APRN

  • Family Nurse Practitioner
  • Wichita, KS
  • NPI 1336808799
  Medicare reassignment NPD
• Tiffany Renee Nold, APRN, FNP-BC

  • Family Nurse Practitioner
  • Wichita, KS
  • NPI 1528782364
  Medicare reassignment NPD
• Lorena Perez, FNP-C

  • Family Nurse Practitioner
  • Wichita, KS
  • NPI 1114786530
  Medicare reassignment NPD

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1295595106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 N WACO ST STE 220",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672021102",
            "telephone_number": "316-722-2138",
            "fax_number": "800-735-8893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 N WACO ST STE 220",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672021102",
            "telephone_number": "316-722-2138",
            "fax_number": "833-464-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENNETT SUPPLY AND SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "DAWNELE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-393-5256",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Benefield
• Curtis Benge, LMSW
• Megan Marie Bengtson, D.P.T
• L'Oreal Gooden Benitez, LCMFT
• Michael Benitez, LAC
• Andrew R Bennett, LCMFT
• Brittanie Bennett, LMSW
• Charles Eugene Bennett, D.C.
• Drew Bennett
• Monica Bennett, PHARMD

• Nurse Practitioner in Wichita, KS
• Providers in Wichita, KS by specialty
• Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.