Individual provider Active NPI

Joyce Lucille Benjamin, RN,MSN,FNP-BC

  • Family Nurse Practitioner
  • Goodyear, AZ
National Provider Identifier
1447599014
Registry record updated Apr 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP4859 Issued in AZ
Practice address
15658 W Whitton Ave
Goodyear, AZ 85395-8526
Phone
(602) 206-5210
NPI assigned
Feb 2, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP4859 AZ Primary

Addresses

Primary practice location

15658 W Whitton Ave
Goodyear, AZ 85395-8526

Mailing address

15658 W Whitton Ave
Goodyear, AZ 85395-8526
Phone (602) 206-5210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131105001964 AZ Practitioner - Nurse Practitioner 7618102302 Practice locations: Goodyear, AZ

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15658 W Whitton Ave
Goodyear, AZ 85395-8526
Phone (602) 206-5210

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Phoenix, AZ, CCN 037106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1359763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588204800000",
    "number": "1447599014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15658 W WHITTON AVE",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853958526",
            "telephone_number": "602-206-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15658 W WHITTON AVE",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853958526",
            "telephone_number": "602-206-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "JOYCE",
        "middle_name": "LUCILLE",
        "name_prefix": "Mrs.",
        "credential": "RN,MSN,FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-02",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.