Shanda Dae Benemerito, OTR/L, CPAM

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

819 Issued in NE

Practice address

102 E South St
RCH Rehab Department
Bassett, NE 68714-5508

Phone

(402) 684-3366

Fax

(413) 431-5660

NPI assigned

Nov 28, 2007

Last updated

Nov 28, 2007By the provider in NPPES

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": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196208000000",
    "number": "1376725788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38",
            "address_2": "621 NORTH MAIN ST",
            "city": "LONG PINE",
            "state": "NE",
            "postal_code": "692170038",
            "telephone_number": "402-273-3164",
            "fax_number": "413-431-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E SOUTH ST",
            "address_2": "RCH REHAB DEPARTMENT",
            "city": "BASSETT",
            "state": "NE",
            "postal_code": "687145508",
            "telephone_number": "402-684-3366",
            "fax_number": "413-431-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENEMERITO",
        "first_name": "SHANDA",
        "middle_name": "DAE",
        "credential": "OTR/L, CPAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-28",
        "last_updated": "2007-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abbie Marie Albrecht, APRN
• Teresa K Babcock
• Shiela Marie Baragar
• Pamela J Barrow, RD, LN
• Alvin Ortega Benemerito, RPT
• Kathy J Carr
• Lynn D Cooper, PLMHP
• Joshua Coyle
• Sally Ann Davis-Jackson, MSW, PLMHP, CSW
• Melissa Dearmont, MSW,LICSW, LIMHP, CM

• Occupational Therapist in Bassett, NE
• Providers in Bassett, NE by specialty
• Occupational Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.