Individual provider Active NPI

Brendolynne Benson

  • Case Manager/Care Coordinator
  • Baton Rouge, LA
National Provider Identifier
1316600869
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
11110 Boardwalk Dr Apt 11
Baton Rouge, LA 70816-8393
Phone
(225) 235-6848
NPI assigned
Oct 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

11110 Boardwalk Dr Apt 11
Baton Rouge, LA 70816-8393

Mailing address

11110 Boardwalk Dr Apt 11
Baton Rouge, LA 70816-8393
Phone (225) 235-6848

Other identifiers 1

IdentifierTypeStateIssuer
00000MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@peakbhs.com

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

NPI Registry JSON

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1316600869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11110 BOARDWALK DR APT 11",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708168393",
            "telephone_number": "225-235-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 BOARDWALK DR APT 11",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708168393",
            "telephone_number": "225-235-6848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "BRENDOLYNNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "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": "00000",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@peakbhs.com",
            "affiliation": "N",
            "address_1": "11110 Boardwalk Dr Apt 11",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708168393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.