NPIMap

Individual provider Active NPI

Janet Bennett

  • Registered Dietitian
  • Springfield, OH
National Provider Identifier
1447438056
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD 1912 Issued in OH
Practice address
3435 Troy Rd
Springfield, OH 45504-4335
Phone
(937) 342-8800
Fax
(937) 342-8805
NPI assigned
Feb 6, 2008
Last updated
Feb 6, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LD 1912 OH Primary

Addresses

Primary practice location

3435 Troy Rd
Springfield, OH 45504-4335

Mailing address

3435 Troy Rd
Springfield, OH 45504-4335
Phone (937) 342-8800

Other identifiers 2

IdentifierTypeStateIssuer
1487784948OtherOHNPI
2594189MedicaidOH

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

State licenses

LicenseStateTypeSpecialty
1170KYMDPsychologist
LD 1912OHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Wellness Center, LLC Past Accepting new patients
Citran Xray LLC Past Accepting new patients
Reddy Family Practice Past Accepting new patients
Diabetic Solutions, LLC Past Accepting new patients

Organizations & group practices 4

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": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202256000000",
    "number": "1447438056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 TROY RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455044335",
            "telephone_number": "937-342-8800",
            "fax_number": "937-342-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 TROY RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455044335",
            "telephone_number": "937-342-8800",
            "fax_number": "937-342-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "JANET",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LD 1912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1487784948",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2594189",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.