Rebecca M. Bennett, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71006789A Issued in IN

Practice address

1911 Chester Blvd
Reid Plastic & Reconstructive Surgery
Richmond, IN 47374-1212

Phone

(765) 962-4872

Fax

(765) 935-8913

NPI assigned

Dec 23, 2016

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: rbennett301752@reidhealth.direct-ci.com

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

{
    "created_epoch": "1482451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1386189587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 REID PKWY",
            "address_2": "MEDICAL STAFF SERVICES",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741157",
            "telephone_number": "765-962-4872",
            "fax_number": "765-935-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 CHESTER BLVD",
            "address_2": "REID PLASTIC & RECONSTRUCTIVE SURGERY",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741212",
            "telephone_number": "765-962-4872",
            "fax_number": "765-935-8913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "REBECCA",
        "middle_name": "M.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-23",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71006789A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rbennett301752@ReidHealth.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Reid Physician Associates, Inc.",
            "address_1": "1911 Chester Blvd",
            "address_2": "Reid Plastic & Reconstructive Surgery",
            "city": "Richmond",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473741212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kathy Beaver
• Tracy L Beaver, RN
• Rick L Beck, LCSW; LISWS
• Ashley Nicole Bennett, CMT
• Myla Nicole Bennett, M.D.
• Eric Benns
• Paul Allen Bergfelder, MD
• Sophia Bergfield
• Catherine Rose Berry, NP-C
• Jeffrey Bessler, LCSW

• Family Nurse Practitioner in Richmond, IN
• Providers in Richmond, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.