Individual provider Active NPI

Kristina Leigh Benoit

  • Primary Care Nurse Practitioner
  • Plantsville, CT
National Provider Identifier
1346899960
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
8479 Issued in CT
Practice address
710 Main St BLDG 4
Plantsville, CT 06479-1567
Phone
(860) 378-2891
NPI assigned
Sep 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 8479 CT
Primary Care Nurse Practitioner 363LP2300X 8479 CT Primary
Nurse Practitioner 363L00000X 8479 CT

Addresses

Primary practice location

710 Main St BLDG 4
Plantsville, CT 06479-1567

Mailing address

530 W Main St
Cheshire, CT 06410-2420
Phone (203) 250-0730

Other practice location 1

41 Brewster Rd
Bristol, CT 06010-5141
Phone (860) 585-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200219001800 CT Practitioner - Nurse Practitioner 8426485186 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Starling Physicians PLLC CurrentSince Nov 1, 2021 Accepting new patients
Feel Well Health Center of Southington, P.C. CurrentSince Mar 1, 2020 Accepting new patients
Starling Physicians, PLLC Nurse Practitioner CurrentSince Nov 1, 2021 Accepting new patients
Starling Physicians, PLLC Past Accepting new patients

Locations

100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830

40 Dale Rd
Ste 105
Avon, CT 06001
Phone (860) 404-2137

41 Brewster Rd
Bristol, CT 06010
Phone (800) 585-3000

710 Main St
Bldg 4
Plantsville, CT 06479
Phone (860) 378-2811

2110 Silas Deane Hwy
Rocky Hill, CT 06067

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1346899960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 W MAIN ST",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064102420",
            "telephone_number": "203-250-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 MAIN ST BLDG 4",
            "city": "PLANTSVILLE",
            "state": "CT",
            "postal_code": "064791567",
            "telephone_number": "860-378-2891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41 Brewster Rd",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "CT",
            "postal_code": "060105141",
            "country_code": "US",
            "telephone_number": "860-585-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENOIT",
        "first_name": "KRISTINA",
        "middle_name": "LEIGH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-06",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "8479",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CT",
            "license": "8479",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "8479",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantsville, CT

Sources for this page

Verify at the official NPI Registry.