Individual provider Active NPI

Jenna N Benyounes, CNM

  • Advanced Practice Midwife
  • Chevy Chase, MD
National Provider Identifier
1407147952
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AC002490 Issued in MD
Practice address
5530 Wisconsin Ave Ste 1640
Chevy Chase, MD 20815-4305
Phone
(202) 753-0001
Fax
(202) 753-0139
NPI assigned
May 2, 2011
Last updated
Jan 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 0024169326 VA
Advanced Practice Midwife 367A00000X AC002490 MD Primary

Addresses

Primary practice location

5530 Wisconsin Ave Ste 1640
Chevy Chase, MD 20815-4305

Mailing address

1002 N Vail St
Alexandria, VA 22304-1939
Phone (703) 531-9541

Other practice location 1

4660 Kenmore Ave
Suite 902
Alexandria, VA 22304-1313
Phone (703) 370-4300

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)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
AC002490MDMDAdvanced Practice Midwife
0024169326VAMDAdvanced Practice Midwife

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1407147952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 N VAIL ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041939",
            "telephone_number": "703-531-9541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE STE 1640",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154305",
            "telephone_number": "202-753-0001",
            "fax_number": "202-753-0139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4660 Kenmore Ave",
            "address_2": "Suite 902",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223041313",
            "country_code": "US",
            "telephone_number": "703-370-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENYOUNES",
        "first_name": "JENNA",
        "middle_name": "N",
        "name_prefix": "Miss",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-02",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "VA",
            "license": "0024169326",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MD",
            "license": "AC002490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.