Active NPI
Therese Benz, RN
- General Acute Care Hospital
- Willoughby, OH
National Provider Identifier
1447797329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- RN.330863
- Practice address
- 96000 Euclid Ave.
Willoughby, OH 44094 - Phone
- (440) 953-6003
- NPI assigned
- Jan 30, 2017
- Last updated
- Jan 30, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | RN.330863 | OH | Primary |
Addresses
Primary practice location
96000 Euclid Ave.
Willoughby, OH 44094
Mailing address
289 Moutainside Dr
Painesville, OH 44077
Phone (440) 413-3034
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.330863 | OH | MD | General Acute Care Hospital |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485734400000",
"number": "1447797329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "289 MOUTAINSIDE DR",
"city": "PAINESVILLE",
"state": "OH",
"postal_code": "44077",
"telephone_number": "440-413-3034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96000 EUCLID AVE.",
"city": "WILLOUGHBY",
"state": "OH",
"postal_code": "44094",
"telephone_number": "440-953-6003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENZ",
"first_name": "THERESE",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-30",
"last_updated": "2017-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "OH",
"license": "RN.330863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Willoughby, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.