Lori R Benninghoff, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA06820 Issued in TX

Practice address

1900 W Wall
Suite a
Midland, TX 79701-6534

Phone

(432) 498-2900

Fax

(432) 498-2990

NPI assigned

Aug 18, 2010

Last updated

Feb 27, 2012By 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

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: loribenninghoff@f6398bd6.micromddirect.com

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330300800000",
    "number": "1386959039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5426",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049155400",
            "telephone_number": "432-498-2900",
            "fax_number": "432-498-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 W WALL",
            "address_2": "SUITE A",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797016534",
            "telephone_number": "432-498-2900",
            "fax_number": "432-498-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNINGHOFF",
        "first_name": "LORI",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-18",
        "last_updated": "2012-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dario Beltran, MD
• Ben-Ray Inc Dba Providerx
• Blake Benavides
• Maureena Benavides, LPC
• Brytton Bennett
• Mackenzie Alexis Bentley, PA
• Bailey Cassidy Bergman, PHYSICIAN ASSISTANT
• Mary Katherine Bergman, PT,DPT
• Bryan Berletch, PA-S
• John C Berry Jr., CRNA

• Physician Assistant in Midland, TX
• Providers in Midland, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.