Allyn Cay Bennefield, MEDCCCSLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA7873 Issued in FL

Practice address

808 Hillcrest Dr
Bradenton, FL 34209-1846

Phone

(941) 807-2863

NPI assigned

Nov 16, 2009

Last updated

Nov 16, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Riverside Speech & Language

  • Developmental Therapist
  • Bradenton, FL
  • NPI 1265745467
  NPD (past)
• Riverside Speech & Language LLC

  • Speech-Language Pathologist
  • Bradenton, FL
  • NPI 1659516508
  NPD (past)

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

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258329600000",
    "number": "1346577129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 HILLCREST DR",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342091846",
            "telephone_number": "941-807-2863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 HILLCREST DR",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342091846",
            "telephone_number": "941-807-2863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNEFIELD",
        "first_name": "ALLYN",
        "middle_name": "CAY",
        "credential": "MEDCCCSLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-16",
        "last_updated": "2009-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA7873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890440500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Lee Belsham, PH.D.
• Alphonso A Belsito, MD
• Albert Alan Bender
• Jose E Benejan Lorenzo, DC
• Isabella Benitez-Enriquez
• Dominick Michael Bennese, M.B.A., ATC/L
• Rachel Ann Bennett, ARNP-C
• Jennifer Benoit
• Nicole Benovic, D.O.
• Bensa Chiropractic and Wellness

• Speech-Language Pathologist in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; 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.