Individual provider Active NPI

Shannon Louise Bennett, LM,CPM

  • Midwife
  • Richland, WA
National Provider Identifier
1396076477
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
MW Issued in WA
Practice address
5002 Smitty Dr
Richland, WA 99352-8009
Phone
(509) 308-3711
Fax
(509) 212-4523
NPI assigned
Jan 29, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X MW WA Primary

Addresses

Primary practice location

5002 Smitty Dr
Richland, WA 99352-8009

Mailing address

5002 Smitty Dr
Richland, WA 99352-8009
Phone (509) 308-3711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MWWAMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1264723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1396076477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5002 SMITTY DR",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993528009",
            "telephone_number": "509-308-3711",
            "fax_number": "509-212-4523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5002 SMITTY DR",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993528009",
            "telephone_number": "509-308-3711",
            "fax_number": "509-212-4523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "SHANNON",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "LM,CPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-29",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "WA",
            "license": "MW",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.