Vanessa T Benavidez

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

License

87802 Issued in CO

Legal business name

VANESSA T BENAVIDEZ

Practice address

2236 Norwich Ave
Pueblo, CO 81003-1058

Phone

(719) 671-4342

Fax

(719) 543-4787

NPI assigned

Nov 24, 2006

Organization subpart

No

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

Authorized official

Name

Vanessa T Benavidez, CST, FA

Title

Owner

Phone

(719) 671-4342

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326114232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 76510",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809706510",
            "telephone_number": "719-638-8844",
            "fax_number": "719-638-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2236 NORWICH AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810031058",
            "telephone_number": "719-671-4342",
            "fax_number": "719-543-4787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANESSA T BENAVIDEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENAVIDEZ",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-671-4342",
        "authorized_official_credential": "CST, FA"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "CO",
            "license": "87802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Van Zandt
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• Irina Vancea, MD
• Darrel Jay Vandeest
• Vanguard Medical Specialists LLC
• Brianna Vansickle
• Jolene Vanvranken
• Anjoli Tamesha Vanwey
• Jessica Cathelene Vanzandt

• Surgical Technologist in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Surgical Technologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.