Individual provider Active NPI

Elizabeth Mary Benyo, A-GNPC

  • Adult Health Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1447691464
Registry record updated Jul 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
TAP5084 Issued in AZ
Practice address
4379 N Placita de Sandra
Tucson, AZ 85718-7422
Phone
(520) 609-5776
NPI assigned
Jul 8, 2013
Last updated
Jul 8, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X TAP5084 AZ Primary

Addresses

Primary practice location

4379 N Placita de Sandra
Tucson, AZ 85718-7422

Mailing address

4379 N Placita de Sandra
Tucson, AZ 85718-7422
Phone (520) 609-5776

Other names 1

  • Liz Geistkemper Former name

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
TAP5084AZMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373241600000",
    "number": "1447691464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4379 N PLACITA DE SANDRA",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857187422",
            "telephone_number": "520-609-5776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4379 N PLACITA DE SANDRA",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857187422",
            "telephone_number": "520-609-5776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENYO",
        "first_name": "ELIZABETH",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "A-GNPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-08",
        "last_updated": "2013-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "TAP5084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIZ",
            "last_name": "GEISTKEMPER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; 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.