Ismerai Benitez, CG60662276

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

918 E. Mead Ave.
Yakima, WA 98903

Phone

(509) 453-1344

Fax

(509) 453-2981

NPI assigned

Jul 20, 2016

Last updated

Jan 28, 2019By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1437502820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 E MEAD AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989033720",
            "telephone_number": "509-453-1344",
            "fax_number": "509-453-2981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 E. MEAD AVE.",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "98903",
            "telephone_number": "509-453-1344",
            "fax_number": "509-453-2981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENITEZ",
        "first_name": "ISMERAI",
        "credential": "CG60662276",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-20",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "CG60662276",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CG60662276",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kalio Stephanie Benao, PHARMD, PA-C
• Michelle Marguerite Bender, LMP
• Russell James Benefield, PHARMD
• Jessica Benegas, PHARMD
• Ebelia Benitez
• Josefa Erica Benitez, MEDICAL ASSISTANT
• Michael Benitz
• Lisa Benoit, ARNP
• Darian Benskin
• Lisa Marie Benton, ARNP

• Peer Specialist in Yakima, WA
• Providers in Yakima, WA by specialty
• Peer Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.