Kimberly Bennett, CAREGIVER

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

572103 Issued in NC

Practice address

5731 Fountain Grove Cir Apt 279
Fayetteville, NC 28304-2670

Phone

(910) 364-8889

NPI assigned

Mar 1, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1356108757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5731 FOUNTAIN GROVE CIR APT 279",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042670",
            "telephone_number": "910-364-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5731 FOUNTAIN GROVE CIR APT 279",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042670",
            "telephone_number": "910-364-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "KIMBERLY",
        "credential": "CAREGIVER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NC",
            "license": "572103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl Bennett, LCSWA
• David Bennett Jr.
• Ericka Bennett
• Gloria Renee Bennett
• Haley Bennett, OTD, OTR/L
• Kyerra Bennett
• Madison Bennett, DPM
• Ravean Bennett
• Stanesha Marie Bennett, LCSWA
• Charles-Lwanga Kobina Bennin, M.D.

• Home Health Aide in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Home Health Aide in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.