Shelby Dawn Benton, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

1617915 Issued in CO

Practice address

4947 W C St
Greeley, CO 80634-4392

Phone

(402) 203-1225

NPI assigned

Apr 21, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shelby Dawn Wieser Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1682035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1336836063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4947 W C ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806344392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4947 W C ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806344392",
            "telephone_number": "402-203-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTON",
        "first_name": "SHELBY",
        "middle_name": "DAWN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-21",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "1617915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "1617915",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBY",
            "last_name": "WIESER",
            "middle_name": "DAWN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rachel Marie Bennett
• Ronnie Bennett
• Sophia Linnea Bennett
• Connye Victoria Benson
• Alyssa Leigh Benton
• Stephanie Anne Berbrich, PA
• Laurie D Berdahl, MD
• Nancy A Berg-Audette, N.P.
• Madeline Berg
• John Paul Berger, D.O.

• Registered Nurse in Greeley, CO
• Providers in Greeley, CO by specialty
• Registered Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.