Christina L Benningfield, OT

Primary specialty

SpecialistTaxonomy code 174400000X

License

R4686 Issued in KY

Practice address

102 Cathedral MNR
D
Bardstown, KY 40004-1253

Phone

(502) 640-4554

Fax

(502) 640-4554

NPI assigned

Mar 27, 2012

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)

Enrolled

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1427324151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427280035",
            "telephone_number": "270-403-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 CATHEDRAL MNR",
            "address_2": "D",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041253",
            "telephone_number": "502-640-4554",
            "fax_number": "502-640-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNINGFIELD",
        "first_name": "CHRISTINA",
        "middle_name": "L",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-27",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "R4686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Joshua Dolphus Blackmon, DMD

• All providers in Bardstown, KY
• Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; 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.