Walter C Bennett DC FNP Inc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

WALTER C BENNETT DC FNP INC

Practice address

2310 Thornton Taylor Pkwy Ste C
Fayetteville, TN 37334-3668

Phone

(931) 251-3009

Fax

(931) 251-3008

NPI assigned

Jun 13, 2013

Last updated

Jul 31, 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

Dr. Walter C Bennett, DC, FNP-CNPI 1164569703

Title

Owner

Phone

(931) 251-3009

Specialties & licenses 1

Addresses

Other names 1

• Walter Bennett DC MSN FNP Former legal business name

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

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.

• Walter Charles Bennett Jr.

  • Family Nurse Practitioner
  • Fayetteville, TN
  • NPI 1164569703
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1326486184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 THORNTON TAYLOR PKWY STE C",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373343668",
            "telephone_number": "931-251-3009",
            "fax_number": "931-251-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 THORNTON TAYLOR PKWY STE C",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373343668",
            "telephone_number": "931-251-3009",
            "fax_number": "931-251-3008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Jerusalem Ave Apt A",
            "address_purpose": "LOCATION",
            "city": "Hicksville",
            "state": "NY",
            "postal_code": "118014958",
            "country_code": "US",
            "telephone_number": "516-935-3555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WALTER C BENNETT DC FNP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-13",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-251-3009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walter Bennett DC MSN FNP",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Walter Bennett DC MSN FNP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Family Nurse Practitioner in Fayetteville, TN
• Providers in Fayetteville, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.