Individual provider Active NPI

Benita Faye Whitaker-Benn, RN

  • Registered Nurse
  • Chattanooga, TN
National Provider Identifier
1316164569
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
101767 Issued in TN
Practice address
921 E 3Rd St
Family Planning Dept.
Chattanooga, TN 37403-2102
Phone
(423) 209-6666
Fax
(423) 209-8051
NPI assigned
Apr 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 101767 TN Primary

Addresses

Primary practice location

921 E 3Rd St
Family Planning Dept.
Chattanooga, TN 37403-2102

Mailing address

7640 Austin Dr
Chattanooga, TN 37416-3503
Phone (423) 855-4719

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
101767TNMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316164569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7640 AUSTIN DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374163503",
            "telephone_number": "423-855-4719",
            "fax_number": "423-209-8051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 E 3RD ST",
            "address_2": "FAMILY PLANNING DEPT.",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032102",
            "telephone_number": "423-209-6666",
            "fax_number": "423-209-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER-BENN",
        "first_name": "BENITA",
        "middle_name": "FAYE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "101767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.